Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler Ruemmele, PA-C

Individual provider Medical Physician Assistant · NPI 1053803247

Tyler Ruemmele, PA-C is a Physician Assistant in New York, New York. Qualified in 2018, 8 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

630 W 168th St
New York, NY 10032-3725
Phone: (212) 305-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Brookline Ave, Boston, MA 02215-5450 — (617) 632-3352

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA101129 (MA)

Record details

NPI number1053803247
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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