Physician Compare National (NPI:1043234438)

HEALTHCARE PROVIDER: SOPHIA MOLDAVSKY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043234438
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113994856
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040913001140
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOLDAVSKY
	Individual professional last name
Provider First Name	SOPHIA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BRYN MAWR NEPHROLOGY ASSOC LTD
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6709865751
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	830 OLD LANCASTER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 206
	Group Practice or individual's line 2 address
City	BRYN MAWR
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190103118
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6105258110
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390139
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BRYN MAWR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390195
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MAIN LINE HOSPITAL LANKENAU
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390153
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390222
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RIDDLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y