Dr. Jeremy E Moss, MD, PHD
Dermatology in Madison, Connecticut
1689625188- Practice location
- 1343 Boston Post RD Apt 101, Madison, CT 06443-3481
- Phone
- 860-669-6156
- Fax
- 860-664-0285
- Last updated
- February 9, 2026
Jeremy Ethan Moss is a Dermatology based in Madison, CT. Jeremy Ethan Moss practices in Madison, CT and has the professional credentials of MD, PHD. The NPI Number for Jeremy Ethan Moss is 1689625188 and holds a License No. 043137 (CT). The current practice location address for Jeremy Ethan Moss is 1343 Boston Post RD Apt 101, Madison, CT 06443-3481 and can be reached out via phone at 860-669-6156 and via fax at 860-664-0285.
Provider Profile Details
- NPI Number
- 1689625188
- Provider Name
- Jeremy Ethan Moss
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1343 Boston Post RD Apt 101, Madison, CT 06443-3481
- Phone Number
- 860-669-6156
- Fax Number
- 860-664-0285
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 12, 2006
- Last Update Date
- February 9, 2026
- Certification Date
- February 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1343 Boston Post RD Apt 101
Madison, CT 06443-3481 - City
- Madison
- State
- Connecticut
- Zip
- 06443-3481
- Phone Number
- 860-669-6156
- Fax Number
- 860-664-0285
Provider Business Mailing Address Details
- Address
- 4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450 - City
- Boca Raton
- State
- FL
- Zip
- 33431-4450
- Phone Number
- 561-948-0291
- Fax Number
- 856-185-9042
License Information
- License Number
- 043137
- License State
- CT
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Madison, CT
View all Dermatology providers in Madison →- Donald R Greene, MDDermatology · NPI 1629040886
- Dr. Andrew V Atton, MDDermatology · NPI 1235124538
- Dr. Gail B Whitman, MDDermatology · NPI 1043288061
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- Noel A Turner, MDDermatology · NPI 1386209237
- On Site Dermatology Of Connecticut LLCDermatology · NPI 1326473661
Frequently Asked Questions
What is the NPI number of Dr. Jeremy E Moss, MD, PHD?
The NPI number of Dr. Jeremy E Moss, MD, PHD is 1689625188. It was assigned on May 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy E Moss, MD, PHD?
Dr. Jeremy E Moss, MD, PHD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 043137.
Where does Dr. Jeremy E Moss, MD, PHD practice?
The practice location is 1343 Boston Post RD Apt 101, Madison, CT 06443-3481. The office can be reached at 860-669-6156 (phone) or 860-664-0285 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689625188 directly on the NPPES registry website.