Organization Active NPI

Raashan C. Williams, MD, Facc, LLC

  • Cardiovascular Disease Physician
  • Union City, NJ
National Provider Identifier
1891029773
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08095300 Issued in NJ
Legal business name
RAASHAN C. WILLIAMS, MD, FACC, LLC
Practice address
3196 Kennedy Blvd Third Floor
2A
Union City, NJ 07087-6439
Phone
(201) 758-8000
Fax
(201) 758-8003
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Raashan C Williams, M.D.NPI 1851310726
Title
Physician
Phone
(201) 758-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA08095300 NJ Primary

Addresses

Primary practice location

3196 Kennedy Blvd Third Floor
2A
Union City, NJ 07087-6439

Mailing address

3196 Kennedy Blvd
2A
Union City, NJ 07087-6439
Phone (201) 758-8000

Other identifiers 1

IdentifierTypeStateIssuer
0112429MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091016000431 NJ Part B Supplier - Clinic/Group Practice 1951448380 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, NJ

National Provider Directory

National Provider Directory

Locations

3196 Kennedy Blvd
Ste 2A
Union City, NJ 07087

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891029773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "address_2": "2A",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876439",
            "telephone_number": "201-758-8000",
            "fax_number": "201-758-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD THIRD FLOOR",
            "address_2": "2A",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876439",
            "telephone_number": "201-758-8000",
            "fax_number": "201-758-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAASHAN C. WILLIAMS, MD, FACC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RAASHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-758-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08095300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112429",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.