This paper describes a prototype system of remote music therapy for elderly people with dementia using the latest communication technology in Japan. The system uses the latest high-speed optical network, called NGN (Next Generation Network) and the latest terminal especially for audio data communication called Hikari DUETTO NY1, which was released at the end of the last year. We did an experiment of the system using the real communication environment in this January between Tokyo and Osaka. The communication time of the system between Tokyo and Osaka was about 25.5 msec. Thus, we confirmed that the system was able to provide almost real-time audio data communication. Based on the result, the feasibility of music therapy activities, such as singing and exercises with music, using the system was examined. We confirmed that the singing activity which is the most important one in the music therapy was feasible.