Physician Compare National (NPI:1710133277)

HEALTHCARE PROVIDER: NINA MAOUELAININ D.O

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

Individual Professional Information
NPI	1710133277
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345305082
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090213000072
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAOUELAININ
	Individual professional last name
Provider First Name	NINA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1240 S BROAD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	LANSDALE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	194465395
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRAND VIEW HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390329
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EINSTEIN MEDICAL CENTER MONTGOMERY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390012
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ABINGTON HEALTH LANSDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390231
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ABINGTON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390153
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1710133277)

HEALTHCARE PROVIDER: NINA MAOUELAININ D.O

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information