ROBERTA J MOSS (NPI# 1235135864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235135864 |
| Entity Type | Individual |
| Full Name | ROBERTA J MOSS |
| Credential | MD |
| Practice Address |
65 Kane St West Hartford CT 06119-2110 |
| Mailing Address |
263 Farmington Ave Provider Enrollment Farmington CT 06030-2212 |
| Practice Telephone | 8605236436 |
| Practice Fax Number | 8605233775 |
| Mailing Telephone | 8606797503 |
| Mailing Fax Number | 8606791610 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 029310 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1293109 | 05 |
| Street Address |
65 KANE ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861352 | Elizabeth Appel | Internal Medicine | 65 Kane St, West Hartford, CT 06119-2110 | 2005-06-17 |
| 1093251662 | Damion Grasso | Psychologist | 65 Kane St, West Hartford, CT 06119-2110 | 2017-01-06 |
| 1427498120 | Asha Dusad | Psychiatry & Neurology | 65 Kane St, West Hartford, CT 06119-2110 | 2013-06-27 |
| 1134563000 | Carolyn A. Greene | Psychologist | 65 Kane St, West Hartford, CT 06119-2110 | 2013-04-23 |
| 1437430683 | Asima Ali Zehgeer | Psychiatry & Neurology | 65 Kane St, Psychiatry, West Hartford, CT 06119-2110 | 2011-09-01 |
| 1619282647 | William M Thramann | Internal Medicine | 65 Kane St, Internal Medicine, West Hartford, CT 06119-2110 | 2010-08-13 |
| 1528247541 | State of Connecticut Health Center | Durable Medical Equipment & Medical Supplies | 65 Kane St, West Hartford, CT 06119-2110 | 2007-10-26 |
| 1578750576 | Jason Lang | Psychologist | 65 Kane St, Uchc Dept. of Psychiatry, West Hartford, CT 06119-2110 | 2007-10-03 |
| 1316137060 | Joseph W Tucker | Medical Genetics | 65 Kane St, 2nd Floor Mc 7120, West Hartford, CT 06119-2110 | 2007-07-30 |
| 1699965772 | Sharon S Gray | Dietitian, Registered | 65 Kane St, Genetics, West Hartford, CT 06119-2110 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495134 | West Hartford Primary Care, LLC | Internal Medicine | 9 Ellsworth Rd, West Hartford, CT 06107-2302 | 2020-04-14 |
| 1275178642 | Real Life Medical LLC | Internal Medicine | 1245 Farmington Ave # 226, West Hartford, CT 06107-2667 | 2019-11-09 |
| 1407210016 | Christine Najjar | Internal Medicine | 125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 | 2016-04-09 |
| 1821212382 | Steven A Weisman | Internal Medicine | 41 Crossroads Plz, Unit 213, West Hartford, CT 06117-2402 | 2007-04-13 |
| 1073685905 | William James Pickering | Internal Medicine | 1064 Farmington Ave, West Hartford, CT 06107 | 2006-11-15 |
| 1194818013 | John D. Rixon | Internal Medicine | 55 Webster Hill Blvd, 555 Willard Ave, West Hartford, CT 06107-3458 | 2006-10-02 |
| 1043317340 | Varalakshmi Niranjan | Internal Medicine | 65 Kane Street, West Hartford, CT 06119-2110 | 2006-09-20 |
| 1831101443 | Michael Jimenez | Internal Medicine | 631 South Quaker Ln, West Hartford, CT 06110-1026 | 2006-08-12 |
| 1891718763 | Herbert Saul Hoffman | Internal Medicine | 1170 New Britain Ave, West Hartford, CT 06110-2410 | 2006-07-25 |
| 1508887290 | Murray Isaac Wellner | Internal Medicine | 10 Dale St, West Hartford, CT 06107-1815 | 2006-07-21 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.