Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy Ethan Moss, MD, PHD

Individual provider Dermatology Physician · NPI 1689625188

Dr. Jeremy Ethan Moss, MD, PHD is a Dermatology in Madison, Connecticut. Graduated from New York University School of Medicine in 2001, 25 years ago. Practices with Integrated Dermatology of Waterbury LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
25
Trained at
New York University School of Medicine
Licensed in
CT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1343 Boston Post Rd Apt 101
Madison, CT 06443-3481
Phone: (860) 669-6156
Fax: (860) 664-0285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1078 W Main St, Waterbury, CT 06708-2651 — (203) 757-1585

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 043137 (CT)

Record details

NPI number1689625188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Integrated Dermatology Of Waterbury Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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