Individual provider Active NPI

Cecilia Saixi Wang, M.D., PH.D.

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1083780753
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA081843 Issued in NJ
Practice address
2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251
Phone
(973) 839-2945
Fax
(973) 839-1244
NPI assigned
Nov 27, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA081843 NJ Primary

Addresses

Primary practice location

2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251

Mailing address

2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251
Phone (973) 839-2945

Other identifiers 1

IdentifierTypeStateIssuer
0144321MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070228000399 NJ Practitioner - Psychiatry 9234231804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Psychiatry Associates LLCGroup PAC ID 0547324972, 3 clinicians

Practice addresses (Care Compare)

2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251
Phone (973) 839-2945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA081843NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Psychiatry Associates LLC Psychiatry CurrentSince Jan 14, 2008 Accepting new patients
Christian Health Care Center CurrentSince Jul 1, 2013 Accepting new patients
Nabil El Rafei MD PA Psychiatry PastSince Jan 14, 2008 Accepting new patients

Locations

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

2035 Hamburg Tpke
Ste M
Wayne, NJ 07470
Phone (973) 839-2945

301 Sicomac Ave
Wyckoff, NJ 07481
Phone (201) 848-5200

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1083780753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE",
            "address_2": "SUITE M",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706251",
            "telephone_number": "973-839-2945",
            "fax_number": "973-839-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE",
            "address_2": "SUITE M",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706251",
            "telephone_number": "973-839-2945",
            "fax_number": "973-839-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CECILIA",
        "middle_name": "SAIXI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA081843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144321",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.