Goodwill Cardiology Clinic LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GOODWILL CARDIOLOGY CLINIC LLC

Practice address

7100 Baltimore Ave Ste 509
College Park, MD 20740-3641

Phone

(301) 985-3140

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Rasaq Abu

Title

President

Phone

(301) 985-3140

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1386410801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 BALTIMORE AVE STE 509",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403641",
            "telephone_number": "301-985-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 BALTIMORE AVE STE 509",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403641",
            "telephone_number": "301-985-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL CARDIOLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ABU",
        "authorized_official_first_name": "RASAQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-985-3140",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole R. Glass, M.D.
• Glo's Homecare Agency LLC
• Roseline Godbless
• Diamond Godbolt
• Jorge Gomez
• Unknown Grace a. Tangye E
• Jendayo Grady, PHD
• Grassroots Healing
• Greater Washington Skin Center, LLC
• David Christopher Green, PHARMD

• Cardiovascular Disease Physician in College Park, MD
• Providers in College Park, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.