Individual provider Active NPI

Jinsong Wang, MD

  • Orthopaedic Surgery Physician
  • Manchester, NH
National Provider Identifier
1710966445
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10922 Issued in NH
Practice address
700 Lake Ave
Suite One
Manchester, NH 03103-2734
Phone
(603) 883-0091
Fax
(603) 881-3739
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 10922 NH
Orthopaedic Surgery Physician 207X00000X 10922 NH Primary

Addresses

Primary practice location

700 Lake Ave
Suite One
Manchester, NH 03103-2734

Mailing address

17 Riverside St
Suite 101
Nashua, NH 03062-1304
Phone (603) 883-0091

Other identifiers 1

IdentifierTypeStateIssuer
30201006MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20060308000464 NH Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6800875857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Chicago, Pritzker School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17 Riverside St
Suite 101
Nashua, NH 03062-1383
Phone (603) 883-0091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.37 of 100Reported as group
Quality
56.5
Promoting interoperability
86
Improvement activities
40
Cost
73.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10922NHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Hampshire Orthopaedic Surgery, PA Orthopaedic Surgery Current Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients

Locations

9 Washington Pl
Ste 101
Bedford, NH 03110
Phone (603) 669-5454

41 Buttrick Rd
Londonderry, NH 03053
Phone (603) 422-8693

700 Lake Ave
Ste 1
Manchester, NH 03103
Phone (603) 669-5454

700 Lake Ave
Ste One
Manchester, NH 03103
Phone (603) 669-5454

17 Riverside St
Ste 101
Nashua, NH 03062
Phone (603) 689-1690

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

Interoperability endpoints

  • Direct secure messaging: jinsong.wang.p1@direct.nhoc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1710966445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "SUITE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621304",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "SUITE ONE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JINSONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NH",
            "license": "10922",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "10922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201006",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.