Individual provider Active NPI

Eugene John Mancuso, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1831234442
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
166460 Issued in NY
Practice address
2915 Avenue S
Brooklyn, NY 11229-2544
Phone
(718) 998-9669
Fax
(718) 339-5614
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 166460 NY Primary

Addresses

Primary practice location

2915 Avenue S
Brooklyn, NY 11229-2544

Mailing address

2915 Avenue S
Brooklyn, NY 11229-2544
Phone (718) 998-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050528000021 NY Practitioner - Family Practice 2264473867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2915 Ave S
Brooklyn, NY 11229-2544
Phone (718) 998-9669

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.36 of 100Reported as individual
Quality
41.67
Improvement activities
40
Cost
75.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care of Marine Park, P.C. Family Medicine CurrentSince Sep 23, 2004 Accepting new patients

Locations

1935 E 29th St
Brooklyn, NY 11229
Phone (718) 998-9669

2915 Avenue S
Brooklyn, NY 11229
Phone (718) 554-3680

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1831234442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292544",
            "telephone_number": "718-998-9669",
            "fax_number": "718-339-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292544",
            "telephone_number": "718-998-9669",
            "fax_number": "718-339-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "EUGENE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "166460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.