NPIMap

Organization Active NPI

New York Remote Medical PC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1992425037
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEW YORK REMOTE MEDICAL PC
Practice address
169 Madison Ave Ste 90030
New York, NY 10016-5101
Phone
(978) 850-3914
Fax
(646) 365-0517
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Harless
Title
Director, RCM
Phone
(508) 494-8275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

169 Madison Ave Ste 90030
New York, NY 10016-5101

Mailing address

169 Madison Ave Ste 90030
New York, NY 10016-5101
Phone (978) 850-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, TX, CA, CO, IL, MA, PA, HI9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20221010002648 NY Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Tuxedo Park, NY
O20231010001280 FL Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, FL; Tampa, FL
O20231018000114 TX Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Worth, TX; Katy, TX; Rowlett, TX
O20231117000384 CA Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Irvine, CA; Petaluma, CA
O20240130002917 CO Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 1 practitioner
Practice locations: Bellvue, CO; Silverthorne, CO
O20240207001381 IL Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, IL
O20240517002755 MA Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly, MA; Sharon, MA
O20240911003592 PA Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 1 practitioner
Practice locations: Tobyhanna, PA
O20241108001322 HI Part B Supplier - Clinic/Group Practice 5395121628 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

150 W 22nd St
Fl 8
New York, NY 10011
Phone (646) 809-4094

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1992425037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 90030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "978-850-3914",
            "fax_number": "646-365-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 90030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "978-850-3914",
            "fax_number": "646-365-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK REMOTE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HARLESS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "508-494-8275"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.