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GOLDSTAR FAMILY PRACTICE
NPI 1639961899
Family Medicine in Lanham, MD

Active since May 21, 2025
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706(301) 792-3797 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, May 21, 2025 (2 updates tracked since 2025).

About Goldstar Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDSTAR FAMILY PRACTICE (NPI 1639961899) is a healthcare organization registered as a family medicine in Lanham, Maryland and active in the NPI registry since May 2025. The organization lists Anna Ngwisah Bolima, Owner, as its authorized official.

NPPES Registry Identity

NPI1639961899
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOLDSTAR FAMILY PRACTICE
Location Address7404 EXECUTIVE PL STE 100Lanham, MD 20706-6237
Mailing Address14408 Burslem TerBurtonsville, MD 20866-2014 · (301) 792-3797
Phone(301) 792-3797
Organization SubpartNo
Authorized OfficialAnna Ngwisah BolimaOwner · (301) 792-3798
Enumeration DateMay 21, 2025
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1639961899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7404 EXECUTIVE PL STE 100, Lanham, MD 20706
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORENCE NGUH
Nurse Practitioner (Family)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 758-1782
MINDFUL MEDICAL SERVICES, LLC
Nurse Practitioner (Family)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (443) 379-4410
INTEGRATED MEDICAL CLINIC
Substance Abuse Rehabilitation Facility
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
MR. NICHOLAS E TINDONG PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
INTEGRATED MEDICAL CLINIC
Nurse Practitioner (Family)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 758-1782
INTEGRATED MEDICAL CLINIC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
INTEGRATED MEDICAL CLINIC
Community/Behavioral Health
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 260-3827
INTEGRATED MEDICAL CLINIC
Nurse Practitioner (Psychiatric/Mental Health)
7404 EXECUTIVE PL STE 100
LANHAM, MD 20706
Prince George's County (240) 758-1782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goldstar Family Practice's NPI number?

The NPI number for Goldstar Family Practice is 1639961899. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Goldstar Family Practice located?

Goldstar Family Practice is located at 7404 Executive Pl Ste 100, Lanham, MD 20706. The listed phone number is (301) 792-3797.

What is Goldstar Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Goldstar Family Practice was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.