DR. TINA JUPITER PHD
NPI 1912029810
Audiologist in New York, NY
About Dr. Tina Jupiter Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TINA JUPITER PHD (NPI 1912029810) is an individual audiologist in New York, New York, licensed in New York (000053) and active in the NPI registry since April 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tina Jupiter Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tina Jupiter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 676 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Tina Jupiter's NPI number?
The NPI number for Tina Jupiter is 1912029810. It was assigned to this individual provider in the NPPES registry on April 4, 2007.
Where is Tina Jupiter located?
Tina Jupiter practices at 506 Malcolm X Blvd, New York, NY 10037. The listed phone number is (212) 939-8097.
What is Tina Jupiter's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Tina Jupiter enrolled in Medicare?
Yes. Tina Jupiter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tina Jupiter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Jupiter reassigns Medicare benefits to Harlem Medical Associates PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Jupiter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tina Jupiter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Tina Jupiter, PHD · NPI 1912029810
Audiologist provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1912029810 (Entity type: Individual)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 000053 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 MALCOLM X BLVD, New York, NY 10037-1802
- **Phone:** (212) 939-8097 · **Fax:** (212) 939-8409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Harlem Medical Associates PC (NPI 1487957692, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1912029810) · Data from the CMS NPPES public registry.