1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Otolaryngology
  6. NPI Profile

DR. EDWARD S. KWAK M.D.
NPI 1568514412
Otolaryngology - Facial Plastic Surgery in New York, NY

Active since January 18, 2007Opted out of Medicare · through Jan 1, 2027CLIA 33D2118182 · Waiver
737 PARK AVE APT 1D, NEW YORK, NY 10021(212) 229-1100(212) 229-1105 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward S. Kwak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD S. KWAK M.D. (NPI 1568514412) is an individual facial plastic surgery provider in New York, New York, licensed in New York (236600) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2027 and holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1568514412
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. EDWARD S. KWAKCredential: M.D.
Location Address737 PARK AVE APT 1DNew York, NY 10021-4264
Mailing Address737 Park Ave Apt 1dNew York, NY 10021-4264 · (212) 229-1100 · Fax (212) 229-1105
Phone(212) 229-1100
Fax(212) 229-1105
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 9, 2021
NPPES CertifiedJanuary 9, 2021
✔ NPI 1568514412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in NY · 236600
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedSpecialistTaxonomy 174400000X · License 236600 (NY)
737 PARK AVE APT 1D, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 1

Medicaid02877961NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward S. Kwak M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2118182

Edward S Kwak MD Facial Plastic Surgery PC · New York, NY
Active · expires Aug 31, 2026
CLIA Number33D2118182
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Edward S. Kwak
Laboratory Phone(212) 229-1100
Laboratory LocationEdward S Kwak MD Facial Plastic Surgery PC737 Park Avenue - Unit 1D, New York, NY 10021
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA SCHILLING FNP-BC
Nurse Practitioner (Family)
737 PARK AVE APT 1D
NEW YORK, NY 10021
New York County (212) 229-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Kwak's NPI number?

The NPI number for Edward Kwak is 1568514412. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Edward Kwak located?

Edward Kwak practices at 737 Park Ave Apt 1D, New York, NY 10021. The listed phone number is (212) 229-1100.

What is Edward Kwak's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Edward Kwak enrolled in Medicare?

No. Edward Kwak has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Does Edward Kwak hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2118182) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edward Kwak was last updated on January 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.