Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Park Urologic, PC

Organization Pediatrics Physician · NPI 1518035401

Park Urologic, PC is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 Park Ave S 5th Fl
New York, NY 10016-6822 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 679-6464
Fax: (212) 679-6472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (NY)
Pediatrics Physician Taxonomy 208000000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1518035401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Knoll — Owner · (212) 679-6464
NPI enumeratedDecember 1, 2006
Last updated in NPPESJune 3, 2014
Mailing address461 Park Ave S, 5th Floor, New York, NY 10016-6822

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