Individual provider Active NPI

Sijie Jason Wang, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Farmington, CT
National Provider Identifier
1497166110
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
70663 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030-7539
Phone
(860) 679-4477
Fax
(603) 227-7191
NPI assigned
May 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18011 NH
Internal Medicine Physician 207R00000X 070663 CT
Hospitalist Physician 208M00000X 18011 NH
Addiction Medicine (Internal Medicine) Physician 207RA0401X 70663 CT Primary

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-7539

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice location 1

250 Pleasant St Ste 6073
Concord, NH 03301-2598
Phone (603) 227-7000 ext. 3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170320001532 NH Practitioner - Internal MedicinePractitioner - Hospitalist 5395043715 Reassigns benefits to 1 organization
I20220825002623 CT Practitioner - Addiction MedicinePractitioner - Hospitalist 5395043715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Hospitalist
Education
University of Connecticut School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070663CTMDInternal Medicine Physician
18011NHMDInternal Medicine Physician
70663CTMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Hartford Hospital CurrentSince Dec 1, 2024 Accepting new patients
The New London Hospital Association, Inc. Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 23, 2022 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Mar 1, 2017 Accepting new patients
University of Connecticut Health Center Internal Medicine CurrentSince Sep 23, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Concord Hospital, Inc. PastSince May 1, 2022 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

Interoperability endpoints

  • Direct secure messaging: swang514280@xdr.hhchealthdirect.org
  • Direct secure messaging: swang61739@direct.med.uchc.edu

Organizations & group practices 9

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1497166110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060307539",
            "telephone_number": "860-679-4477",
            "fax_number": "603-227-7191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St Ste 6073",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012598",
            "country_code": "US",
            "telephone_number": "603-227-7000 x3939",
            "fax_number": "603-227-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "SIJIE",
        "middle_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "18011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "070663",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "18011",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CT",
            "license": "70663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.