Jeremy Ethan Moss, M.D., PH.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

043137 Issued in CT

Practice address

1343 Boston Post Rd Apt 101
Madison, CT 06443-3481

Phone

(860) 669-6156

Fax

(860) 664-0285

NPI assigned

May 12, 2006

Last updated

Feb 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

New York University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Waterbury LLCGroup PAC ID 9133467665, 4 clinicians

Integrated Dermatology of Clinton LLCGroup PAC ID 7416257381, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

98.94 of 100Reported as group

Quality

96.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Integrated Dermatology of Clinton, LLC

  dba Dermatology of Clinton LLP

  • Dermatology Physician
  • Madison, CT
  • NPI 1457728883
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Waterbury, LLC

  • Dermatology Physician
  • Waterbury, CT
  • NPI 1588136220
  Medicare reassignment Care Compare group NPD
• On Site Dermatology of Connecticut LLC

  • Dermatology Physician
  • Madison, CT
  • NPI 1326473661
  NPD
• Yale Dermatology Associates PC

  • Dermatology Physician
  • New Haven, CT
  • NPI 1003991357
  NPD (past)
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1689625188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "856-185-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 BOSTON POST RD APT 101",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433481",
            "telephone_number": "860-669-6156",
            "fax_number": "860-664-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1078 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082651",
            "country_code": "US",
            "telephone_number": "203-757-1585",
            "fax_number": "203-757-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JEREMY",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "043137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Modine, LCSW
• Maxine Monson
• Patrick Joseph Moriarty, LO.
• Nicole Danielle Morra, LPC
• Jarod David Morrison, DC
• Javier Motta, PA
• John Andrew Murphy, LCSW,LADC
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)
• Mark A Nadolski
• Terese M Naser, D.C.

• Dermatology Physician in Madison, CT
• Providers in Madison, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.