Individual provider Active NPI

Stephen J. Moses, M.D.

  • Rheumatology Physician
  • Ansonia, CT
National Provider Identifier
1003804600
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
020100 Issued in CT
Practice address
135 Division St
Ansonia, CT 06401-2134
Phone
(203) 735-9354
Fax
(203) 732-2106
NPI assigned
Oct 9, 2005
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 020100 CT Primary

Addresses

Primary practice location

135 Division St
Ansonia, CT 06401-2134

Mailing address

135 Division St
Ansonia, CT 06401-2134
Phone (203) 735-9354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000585 CT Practitioner - RheumatologyPractitioner - Internal Medicine 6709960750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
020100CTMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jun 25, 2018 Accepting new patients

Locations

135 Division St
Ansonia, CT 06401
Phone (203) 735-3500

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5520 Park Ave
Ste M2100
Trumbull, CT 06611
Phone (203) 371-5873

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13610/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1003804600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 DIVISION ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012134",
            "telephone_number": "203-735-9354",
            "fax_number": "203-732-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DIVISION ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012134",
            "telephone_number": "203-735-9354",
            "fax_number": "203-732-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-09",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "020100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.