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MOSS DERMATOLOGY LLC
NPI 1780835918
Dermatology in Forest Hills, NY

Active since October 07, 2008CLIA 33D2051133 · Certificate of Compliance
10840 QUEENS BLVD, FOREST HILLS, NY 11375(718) 268-3161(718) 268-2311 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moss Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSS DERMATOLOGY LLC (NPI 1780835918) is a healthcare organization registered as a dermatology in Forest Hills, New York and active in the NPI registry since October 2008. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2026 and lists Tamara Moss, Physician, as its authorized official.

NPPES Registry Identity

NPI1780835918
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOSS DERMATOLOGY LLC
Location Address10840 QUEENS BLVDForest Hills, NY 11375-5361
Mailing Address10840 Queens BlvdForest Hills, NY 11375-5361 · (718) 268-3161 · Fax (718) 268-2311
Phone(718) 268-3161
Fax(718) 268-2311
Organization SubpartNo
Authorized OfficialTamara MossPhysician · (718) 268-3161
Enumeration DateOctober 7, 2008
Last NPPES UpdateApril 21, 2015
✔ NPI 1780835918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 193984
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10840 QUEENS BLVD, Forest Hills, NY 11375
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moss Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Moss Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Tamara Moss, M.D.
Dermatology
NPI 1134143282
10840 QUEENS BLVD
Forest Hills, NY 11375
(925) 477-3901
✔ PECOS✔ Accepts MedicareSame address
Qiang Xie, MD PHD
Pathology
NPI 1427285386
450 CLARKSON AVE
Brooklyn, NY 11203
(718) 270-1279
✔ PECOS7.0 mi
Jonathan Yao, M.D.
Pathology
NPI 1316263395
706 GREEN VALLEY RD SUITE 104
Greensboro, NC 27408
(336) 387-2500
✔ PECOS✔ Accepts Medicare455 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2051133

Moss Dermatology, LLC · Forest Hills, NY
Active · expires Nov 12, 2026
CLIA Number33D2051133
Laboratory TypePractitioner Other
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDr. Jonathan L. Yao
Laboratory Phone(718) 268-3161
Laboratory LocationMoss Dermatology, LLC109-19 72nd Road Com1, Forest Hills, NY 11375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moss Dermatology LLC's NPI number?

The NPI number for Moss Dermatology LLC is 1780835918. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Moss Dermatology LLC located?

Moss Dermatology LLC is located at 10840 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 268-3161.

What is Moss Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Moss Dermatology LLC enrolled in Medicare?

Yes. Moss Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moss Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Moss Dermatology LLC, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Moss Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2051133) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moss Dermatology LLC was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.