Active NPI
Sijie Jason Wang, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 70663
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of Connecticut School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070663 | CT | MD | Internal Medicine Physician |
| 18011 | NH | MD | Internal Medicine Physician |
| 70663 | CT | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Internal Medicine | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Internal Medicine | Current | Accepting new patients |
| University of Connecticut Health Center | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Current | Accepting new patients | |
| University of Connecticut Health Center | Internal Medicine | Current | Accepting new patients |
| University of Connecticut Health Center | Past | Accepting new patients | |
| Concord Hospital, Inc. | Past | 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
- swang514280@xdr.hhchealthdirect.org
- 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.
-
dba University Physicians
- General Practice Physician
- Farmington, CT
- NPI 1720083769
Internal Medicine
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
Internal Medicine
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
dba University Physicians
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
dba d/b/a New London Hospital EMS
- Ambulance
- New London, NH
- NPI 1639610611
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
-
dba Concord Hospital Medical Associates
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
dba Newport Health Center
- Multi-Specialty Clinic/Center
- Newport, NH
- NPI 1770684672
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.