NPIMap

Individual provider Active NPI

Fang Wang, MD

  • Family Medicine Physician
  • Vernon Rockville, CT
National Provider Identifier
1780724971
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039762 Issued in 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
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 039762 CT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000942 CT Practitioner - Family Practice 9133114887 Reassigns benefits to 1 organization
Practice locations: Wilton, CT

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Housecalls, PLLCGroup PAC ID 4284174228, 17 clinicians

Practice addresses (Care Compare)

30 Lafayette SQ
Suite 30
Vernon, CT 06066-4554
Phone (800) 391-0599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039762CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Housecalls, PLLC CurrentSince May 1, 2025 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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caring Hospice Services of Connecticut, LLCStamford, CT, CCN 071501 Hospice W-2 Managing Employee Jun 9, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 8

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1780724971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRIARDALE PL",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972700",
            "telephone_number": "203-252-2463",
            "fax_number": "203-961-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAFAYETTE SQ STE 109",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060664554",
            "telephone_number": "800-391-0599",
            "fax_number": "980-825-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Briardale Pl",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068972700",
            "country_code": "US",
            "telephone_number": "203-252-2463",
            "fax_number": "203-724-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "FANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Rockville, CT

Sources for this page

Verify at the official NPI Registry.