Individual provider Active NPI

Mena Soliman, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1477060598
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018379 Issued in PA
Practice address
4417 N 6TH St
Philadelphia, PA 19140-2319
Phone
(215) 302-3150
Fax
(215) 329-2000
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018379 PA Primary
Family Nurse Practitioner 363LF0000X 267640 MT
Nurse Practitioner 363L00000X 358222 NY

Addresses

Primary practice location

4417 N 6TH St
Philadelphia, PA 19140-2319

Mailing address

4417 N 6TH St
Philadelphia, PA 19140-2319
Phone (215) 302-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, NJ, WV, DC, MT, NY, CT, WA, MD, AZ11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20180320001772 PA Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 2 organizations
I20220201000613 VA Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20241028002055 NJ Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20241106000989 WV Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20241121002428 DC Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20251016004168 MT Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20251118004333 NY Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20260226002841 CT Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20260401003313 WA Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20260402000424 MD Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization
I20260512002489 AZ Practitioner - Nurse Practitioner 3779845318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians
Avenues Recovery Medical Center at Valley ForgeGroup PAC ID 3678972130, 21 clinicians

Practice addresses (Care Compare)

Helena, MT 59601
Phone (215) 585-2144

1016 W University Ave
Suite 219
Flagstaff, AZ 86001-2997
Phone (215) 585-2144

1033 W Germantown Pike Valley Forge M
Norristown, PA 19403-3905
Phone (732) 886-6202

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

1644 Annapolis Rd
Suite 4
Odenton, MD 21113-1002
Phone (215) 585-2144

18 E 41St St
FL 14
New York, NY 10017-6244
Phone (215) 585-2144

24 Reliance Rd
Suite 5
Martinsburg, WV 25403-2281
Phone (215) 585-2144

4305 Lacey Blvd SE
Suite 20
Lacey, WA 98503-2352
Phone (215) 585-2144

464 Herndon Pkwy
Suite 216
Herndon, VA 20170-5200
Phone (215) 585-2144

73 Golden Hill St
Suite 104
Milford, CT 06460-4645
Phone (215) 585-2144

Hospital & facility affiliations

  • Valley Forge Medical Center Hospital, Norristown, PA, CCN 390272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
358222NYMDNurse Practitioner
267640MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group, P.C. CurrentSince Jan 12, 2022 Accepting new patients
Ophelia Medical Group NJ PC CurrentSince Oct 10, 2024 Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Mar 10, 2024 Accepting new patients
Ophelia Medical Group FL, P.a. CurrentSince Jan 12, 2022 Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Mar 10, 2024 Accepting new patients
Ophelia Medical Group Ny, P.C. PastSince Oct 9, 2024 Accepting new patients

Locations

1016 W University Ave
Ste 219
Flagstaff, AZ 86001

1638 R St NW
Ste 214
Washington, DC 20009

1644 Annapolis Rd
Ste 4
Odenton, MD 21113
Phone (240) 743-0343

2 N Last Chance Gulch
Ste B
Helena, MT 59601

230 US Highway 206
Ste 4
Flanders, NJ 07836

850 Towbin Ave
Lakewood, NJ 08701
Phone (732) 886-6202

18 E 41st St
Fl 14
New York, NY 10017
Phone (305) 395-4313

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

527 Bay Rd
Ste 7
Queensbury, NY 12804
Phone (212) 585-2144

1033 W Germantown Pike
Norristown, PA 19403
Phone (610) 539-8500

464 Herndon Pkwy
Ste 216
Herndon, VA 20170
Phone (703) 409-1224

4305 Lacey Blvd SE
Ste 20
Lacey, WA 98503

24 Reliance Rd
Ste 5
Martinsburg, WV 25403

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1477060598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 N 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402319",
            "telephone_number": "215-302-3150",
            "fax_number": "215-329-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 N 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402319",
            "telephone_number": "215-302-3150",
            "fax_number": "215-329-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "MENA",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018379",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "267640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "358222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.