MEDICARE: THE REGENERATIVE SPORTSCARE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1780512848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE REGENERATIVE SPORTSCARE INSTITUTE

Provider Business Mailing Address
First Line	:	62 E 88TH ST FL 1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	646-870-7997
Fax Number	:	646-870-7990

Provider Business Practice Location Address
First Line	:	62 E 88TH ST FL 1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	646-870-7997
Fax Number	:	646-870-7990

Authorized Official
Title or Position	:	MD
Name	:	DR. JENNIFER SOLOMON
Credential	:	MD
Telephone Number	:	646-870-7997

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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