Top Tech Startups in New York, US in 2027

Sage is on a mission to improve the quality of life for older adults, starting with those residing in senior living facilities. Falls are the leading cause of injury-related deaths among adults over 65. At the same time, fall prevention and emergency response systems for older adults are archaic and ineffective. This issue is exacerbated by the inefficient procedures that operators of these facilities are forced to use to provide care to their residents. Sage's integrated software aims to reinvent how we care for and respond to older adults in times of need. We aim to build a platform that gives caregivers the means to provide care for modern aging.

TrueFoundry is an Enterprise Platform as a service that enables companies to build, ship and govern Agentic AI applications securely, at scale and with reliability through its AI Gateway and Agentic Deployment platform. Its AI Gateway encompasses a combination of - LLM Gateway, MCP Gateway and Agent Gateway - enabling enterprises to manage, observe, and govern access to all components of a Gen AI Application from a single control plane while ensuring proper FinOps controls. Its Agentic Deployment platform enables organizations to deploy models on GPUs using best practices, run and scale AI agents, and host MCP servers - all within the same Kubernetes-native platform. It supports on-premise, multi-cloud or Hybrid installation for both the AI Gateway and deployment environments, offers data residency and ensures enterprise-grade compliance with SOC 2, HIPAA, EU AI Act and ITAR standards. Leading Fortune 1000 companies like Resmed, Siemens Healthineers, Automation Anywhere, Zscaler, Nvidia and others trust TrueFoundry to accelerate innovation and deliver AI at scale, with 10Bn + requests per month processed via its AI Gateway and more than 1000+ clusters managed by its Agentic deployment platform. TrueFoundry’s vision is to become the Central control plane for running Agentic AI at scale within enterprises and empowering it with intelligence so that the multi-agent systems become a self-sustaining ecosystem driving unparalleled speed and innovation for businesses. To learn more about TrueFoundry, visit truefoundry.com.

At US Mobile, we’re on a mission to revolutionize connectivity. We're building a next-generation connectivity platform to connect the next billion wireless devices onto nationwide 4G and 5G networks, including your phone, drone, car, watch, pet tracker, and everything in between. We’re accomplishing this by leveraging cutting-edge technology and forward-thinking UI design. Whether it’s with our free high-speed international roaming, customizable perks, AI-facilitated plan savings, customizable plans, or real-time dashboards, we’re building the industry’s most delightful user experience all backed by our excellent customer service. We’re a rapidly-growing and innovative start-up with incredible and sustainable growth. We ranked 94th on Inc. 5000's list of private companies in the US in 2019, and we were recently featured this year by Forbes as one of America's top startup employers.

At January, we bring humanity to consumer finance. Using data intelligence, we create trust and deliver better outcomes for consumers and creditors alike. Our mission is simple: expand access to credit while empowering consumers to achieve lasting stability and control of their financial lives. We began by building the foundation for creditors to engage with and support their borrowers at scale across the entire debt lifecycle. We’ve mastered outsourced collections by combining best-in-class performance with differentiated consumer satisfaction and superior compliance.  And we’re just getting started. Together, we’re creating a financial system where trust and opportunity spark lasting change in people’s lives.

PurposeMed was founded in 2019 with the mission of improving access to complex care for underserved communities. We’ve grown quickly in our first few years, and now our exceptional team serves thousands of patients each month across our multiple verticals. PurposeMed consists of three complex care business units: Freddie, Frida, and Foria, and partners with Affirming Care Pharmacy. Freddie is focused on improving sexual health through education, prevention, and treatment with a focus on the LGBTQ2S+ community—we’re the #1 rated PrEP provider in North America, serving patients in both Canada and the USA! Frida is changing the lives of patients with easier access to adult ADHD diagnosis, and fast and affordable treatment. Foria Clinic provides trans, non-binary, and gender-diverse Canadians with gender-affirming healthcare. Affirming Care Pharmacy is a specialty pharmacy with locations in Calgary, Alberta, and Mississauga, Ontario. This partnership provides our patients with an end-to-end healthcare experience, from treatment, to prescription delivery, to continuous affirming care. We’re proud to be ranked #2 on Deloitte’s 2024 list of Canada’s 50 fastest-growing tech companies and recognized as one of Canada’s Most Admired Corporate Cultures for two consecutive years. Driven by a strong mission, our team is passionate about making healthcare accessible to those who need it most—and we make sure to have fun along the way!

Whether in the world of payment, finance, fashion, art or retail, more and more companies have decided to adopt blockchain and digital assets. However, these companies are faced with a fundamental problem: how to adopt these new assets without jeopardizing their accounting processes and their “auditability”? Created in 2018 by Antoine Scalia, Cryptio is a startup that has taken on the incredible challenge of inventing the foundations of accounting and financial reporting for digital assets (crypto-currencies, NFT, digital assets). How? By offering a SaaS accounting, auditing and tax solution that bridges the gap between blockchain and accounting systems - turning data into verifiable records for accounting, treasury and tax reporting. We enable pioneering companies in the crypto ecosystem, large enterprises and financial institutions to confidently navigate the fragmented digital asset landscape. Our mission is to tackle one of the biggest challenges in crypto right now - building the infrastructure to help institutional adoption. And we're playing to win. Cyptio wants to become the source of truth in the world of crypto!

Kritik is an early-stage but fast growing ed-tech startup working passionately to upgrade college classroom experience with our fun and automated peer-to-peer learning technology. We launched our product into +200 universities and are ready to scale in the upcoming year. We are serial entrepreneurs, backed by some of the top players in the Canadian startup ecosystem including ApplyBoard and GarageCapital. We are looking for smart and motivated people to join the startup and be part of the fast movement in changing the way students are tasked and assessed. Recently, we launched VisibleAI (a completely new product), for which we have developed Artificial Intelligence (AI) for educators and institutions and a platform for academic integrity to equip educators with practical, ready-to-use strategies and prompts while maintaining academic integrity and fostering learning. The goal is to ensure educators are well-equipped to leverage AI, the effectiveness of PBL, and related concepts. The product offers transparency by detecting and reporting AI-generated content, helping educators maintain rigorous academic standards while embracing AI's educational potential.

nOps is an automated cloud optimization platform that makes it easy to allocate and manage cloud usage, commitments, and spend. Managing $4B+ in annual cloud spend, nOps helps companies of every size, from fast-growing startups to global enterprises, reclaim millions in wasted cloud costs. Cloud waste is one of the fastest growing challenges in tech. nOps tackles it by leveraging proprietary ML modeling and AI-powered automation to guide organizations toward the right commitment strategy. The platform eliminates manual provisioning entirely, delivering maximum cost savings without sacrificing reliability, so teams can focus on building and innovating. Trusted by innovative brands around the world, nOps has been recognized as a G2 Top 50 Security Product and G2 Leader for Winter 2025, is an AWS Advanced Technology Partner, and a proud FinOps Foundation Member with our CEO serving on the FinOps Foundation Governing Board.

Twin Health is a revolutionary Precision Health platform combining IoT Sensors, Machine Learning, and Medical Science to reverse chronic diseases like diabetes and improve human metabolic health. It was founded by experienced entrepreneurs with extensive experience building software platforms used by more than 100 million devices around the world. We are backed by Sequoia Capital, Iconiq Capital, Perceptive Advisors, Corner Ventures, LTS Investments, Helena and Sofina with $183M in Series A, Series B, and Series C funding. At Twin, we have achieved groundbreaking medical results for chronic disease reversal (12 papers published in top medical journals) using our patent-pending Whole Body Digital Twin™ technology (5 patents filed), which analyzes complex biosignals from wearable sensors, predicts metabolic outcomes using ML, and recommends highly-personalized treatments based on the metabolic profile of each patient. Our interdisciplinary team consists of engineers, scientists, and medical doctors who collaborate closely to develop these technologies and deliver exceptional health outcomes. We launched our product in 2018 with an initial focus on diabetes; doctors and coaches use our IoT- and ML-based software platform to improve the health of diabetic patients every day.

Afficiency was founded with the goal of providing life insurance to everyone on the platforms they already trust. We’ve launched with great success and are growing fast. Afficiency has developed a digital life insurance platform that allows new products to be digitized and made available for distribution rapidly, completely via API. Headquartered in New York, the company has been partnering with insurance carriers and reinsurers since 2018 to bring new innovative products to market. All of Afficiency’s life insurance products are completely digital, provide instant coverage and are accessible via the many platforms with whom we partner. Afficiency is comprised of proven start-up entrepreneurs and life insurance innovators. We have a growing team and are excited about changing a $600B industry. We are making life insurance accessible to millions of people who would otherwise not have access these important products that protect their families.