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

Edward Stark, MD

Individual provider Urology Physician · NPI 1093727166

Edward Stark, MD is an Urology in New York, New York. Qualified in 1987, 39 years ago. Practices with Georgia Urology, PA, a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and New York.

Years since qualifying
39
Licensed in
GA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 W 52nd St
New York, NY 10019-6239
Phone: (646) 754-2100
Fax: (646) 754-2148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 179696 (NY)
Urology Physician Taxonomy 208800000X · Licence 041680 (GA)

Record details

NPI number1093727166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Georgia Urology, Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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