Tax Accountant for Doctors — NYC
What We Handle for Physicians
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W-2 and 1099 Mixed Income — Most attendings have a primary W-2 position plus locum tenens, expert witness fees, or telemedicine income on the side. Each type has different tax treatment, and we handle all of it on one return.
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Student Loan Strategy — PSLF, REPAYE, IDR — the right repayment plan depends on your tax filing, your AGI, and whether you file jointly or separately. We coordinate with your loan servicer’s math so your tax strategy doesn’t accidentally increase your payments.
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Practice Entity Setup — If you’re moving from employed to private practice, the entity choice (PLLC, S-corp, partnership) has major tax implications. We model the options before you file paperwork.
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Retirement Plan Selection — 401(k), defined benefit plans, backdoor Roth contributions, and mega backdoor Roth when available. Physicians often have access to multiple retirement vehicles — the trick is knowing which ones to fund and in what order.
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CME and Licensing Deductions — Continuing medical education, state licensing fees, DEA registration, board certification costs, professional memberships — deductible when structured properly.
Why NYC Doctors Need Specialized Tax Help
A physician earning $400,000 in NYC is looking at a combined marginal rate north of 50% once you layer federal, state, and city taxes together. At that income level, every planning decision — retirement contributions, entity elections, filing status — has a measurable dollar impact.
The student loan angle is where most general accountants miss the mark. Filing married-jointly versus married-separately can shift your IDR payment by hundreds of dollars a month. If you’re pursuing PSLF, the difference between the right and wrong filing strategy over a 10-year timeline can be worth six figures. We run the numbers both ways and show you which path actually costs less in total.
Whether you’re a resident at NYU Langone, an attending at Mount Sinai, or building a private practice in Midtown, we’ve seen the patterns and know what to look for.
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Sources & References
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We’ll look at your full picture — income, loans, retirement, entity options — and build a plan that actually fits.