Since at least the 1950s Staten Island has mostly been dominated by members of there Anastasia/Gambino and Profaci/Colombo families.

In recent years other crews such as the Genovese, Lucchese, and DeCavalcante have all had a presence. Sam the Plumbers crew mostly because of the close proximity between their home base in NJ and the Outer Bridge Crossing into Staten Island (only a few miles apart).