Active NPI
Jeremy Roberts, MD
- Physical Medicine & Rehabilitation Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 337671
- Practice address
- Department of Rehabilitation Medicine Harkness Pavilion
180 Fort Washington Avenue
New York, NY 10032 - Phone
- (212) 305-3535
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 337671 | NY | Primary |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 337671 | NY | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 337671 | NY |
Addresses
Primary practice location
Department of Rehabilitation Medicine Harkness Pavilion
180 Fort Washington Avenue
New York, NY 10032
Mailing address
622 W 168TH St # VC2-260
New York, NY 10032-3720
Other practice location 1
51 W 51st St # 390
New York, NY 10019-6113
Phone (212) 305-3535
Other practice location 2
180 Ft Washington Avenue
Harkness Pavilion
New York, NY 10032-1003
Phone (516) 456-8310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
180 Fort Washington Ave
Ste 199
New York, NY 10032
Phone (212) 305-3535
180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
#2260
New York, NY 10032
Phone (212) 305-6204
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jer9247@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Physical Medicine & Rehabilitation
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
-
- Specialist
- New York, NY
- NPI 1801074315
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1134623408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST # VC2-260",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF REHABILITATION MEDICINE HARKNESS PAVILION",
"address_2": "180 FORT WASHINGTON AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-305-3535"
}
],
"practiceLocations": [
{
"address_1": "51 W 51st St # 390",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100196113",
"country_code": "US",
"telephone_number": "212-305-3535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 Ft Washington Avenue",
"address_2": "Harkness Pavilion",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321003",
"country_code": "US",
"telephone_number": "516-456-8310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JEREMY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "337671",
"primary": true
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NY",
"license": "337671",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "337671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.