Fang Wang, MD
Individual provider Active NPI Family Medicine Physician · Vernon Rockville, CT
NPI 1780724971 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1780724971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 039762 (CT)
- Practice address
- 30 Lafayette SQ Ste 109
Vernon Rockville, CT 06066-4554 - Phone
- (800) 391-0599
- Fax
- (980) 825-7196
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Housecalls, PLLC
Practice addresses (Care Compare)
30 Lafayette SQ
Suite 30
Vernon, CT 06066-4554
Phone (800) 391-0599
Hospital & facility affiliations
- Patient Care
- Health Care Connectors LLC
- Rvnahealth
- Caring Hospice Services of Connecticut LLC
- Constellation Home Care
- Greenwich Hospital Association -
- Stamford Hospital
- Edgehill Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Caring Hospice Services of Connecticut, LLC |
Hospice | W-2 Managing Employee | Jun 9, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420000942 | CT | Practitioner - Family Practice | 9133114887 |
Reassigns benefits to 1 organization Practice locations: Wilton, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039762 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Housecalls, PLLC | Current |
Accepting new patients |
Locations
30 Lafayette Sq
Ste 30
Vernon, CT 06066
Phone (800) 391-0599
30 Lafayette Sq
Ste 109
Vernon Rockville, CT 06066
Phone (800) 391-0599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 039762 | CT | Yes |
Addresses
Primary practice location
30 Lafayette SQ Ste 109
Vernon Rockville, CT 06066-4554
Mailing address
25 Briardale PL
Wilton, CT 06897-2700
Phone (203) 252-2463
Other practice location 1
25 Briardale Pl
Wilton, CT 06897-2700
Phone (203) 252-2463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001397620 | Medicaid | CT |
Other providers in Vernon Rockville, CT
- Jessica Sullivan
- The Stop & Shop Supermarket Company, LLC
- Vincent'S Pharmacy, Inc.
- Anna E Viscuso
- Walgreen Co
- Janine M. a.. Wilcox
All providers in Vernon Rockville, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.