Individual provider · Type 1 NPI
Tyler Ruemmele, PA-C
Medical Physician Assistant · New York, NY
NPI number
1053803247
Active
Practice location
630 W 168th St
New York, NY 10032-3725
Mailing address
37 Egremont Rd Apt 2
Boston, MA 02135-7332
Other practice locations
- 450 Brookline Ave, Boston, MA 02215-5450 · (617) 632-3352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA101129 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1053803247
Tyler Ruemmele, PA-C's National Provider Identifier is 1053803247, issued on Jun 4, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jan 21, 2026.