Mr Trump said E. Jean Carroll was "totally lying" about the alleged attack in a New York department store.
"I'll say it with great respect: Number one, she's not my type. Number two, it never happened. It never happened, OK?" Mr Trump told The Hill.
Ms Carroll, 75, made the allegations in the New York magazine last Friday.
In follow-up interviews with CNN and MSNBC, the Elle columnist said she would consider pressing charges against Mr Trump.
Ms Carroll is the 16th woman to accuse Mr Trump of sexual misconduct. Mr Trump has denied all allegations against him.
What does E. Jean Carroll allege?
She says the attack allegedly happened at a Bergdorf Goodman store in Manhattan in late 1995 or early 1996, when the pair bumped into each other while shopping.
The former Apprentice star and real estate magnate allegedly asked her for advice when buying lingerie for another woman and jokingly asked her to model it for him.
In the charging rooms, she said Mr Trump lunged at her, pinned her against a wall and forced himself on her.
Ms Carroll, whose "Ask E. Jean" advice column has appeared in Elle magazine since 1993, claims she managed to push him off after a "colossal struggle".
How did Mr Trump respond?
Speaking to The Hill from the White House on Monday, Mr Trump staunchly dismissed the allegations due to appear in Ms Carroll's forthcoming book, "What Do We Need Men For? A Modest Proposal".
He denied even knowing Ms Carroll despite being pictured with her in New York magazine alongside details of her allegations.
"She is it's just a terrible thing that people can make statements like that," he said.
It is his third denial since Ms Carroll went public, with Mr Trump previously accusing her of "trying to sell a new book" and "peddling fake news".
In response to Mr Trump's latest denial and "not my type" comment, Ms Carroll told CNN: "I love that I'm not his type."
In 2016, Mr Trump made similar remarks about another accuser, Jessica Leeds, who alleges he groped her on an aeroplane in the 1980s.
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