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 provides Pediatrics Physician services 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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