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

Eugene Jon Pietzak, MD

Individual provider Urology Physician · NPI 1043539729

Eugene Jon Pietzak, MD is an Urology in New York, New York. Qualified in 2010, 16 years ago. Practices with MSKCC Surgery Group, a 365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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

1275 York Ave
New York, NY 10065-6007
Phone: (646) 733-4336
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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 278191 (NY)

Record details

NPI number1043539729
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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