Organization Active NPI

Yasser Soliman MD PA

  • Family Medicine Physician
  • Mercerville, NJ
National Provider Identifier
1750411880
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05654200 Issued in NJ
Legal business name
YASSER SOLIMAN MD PA
Practice address
2239 Whitehorse Mercerville Rd
Mercerville, NJ 08619-2642
Phone
(609) 587-4778
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Yasser Samir Soliman, MDNPI 1982667531
Title
MD
Phone
(609) 587-4778

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MA05654200 NJ Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA05694400 NJ
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 25MA05694400 NJ

Addresses

Primary practice location

2239 Whitehorse Mercerville Rd
Mercerville, NJ 08619-2642

Mailing address

2239 Whitehorse Mercerville Rd
Mercerville, NJ 08619-2642
Phone (609) 587-4778

Other identifiers 1

IdentifierTypeStateIssuer
5524300MedicaidNJ

Other names 1

  • SOLIMAN MEDICAL ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000195 NJ Part B Supplier - Clinic/Group Practice 3971586413 Receives reassigned benefits from 2 practitioners
Practice locations: Mercerville, NJ

National Provider Directory

National Provider Directory

Locations

2400 Whitehorse Mercerville Rd
Ste 2
Hamilton, NJ 08619

Practitioners & affiliated clinicians

Practitioners 3

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1750411880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 WHITEHORSE MERCERVILLE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086192642",
            "telephone_number": "609-587-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 WHITEHORSE MERCERVILLE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086192642",
            "telephone_number": "609-587-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASSER SOLIMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "YASSER",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-587-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05654200",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05694400",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05694400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5524300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLIMAN MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.