Active NPI
Safwan Tayeb, MD
- Ophthalmology Physician
- Cleveland, OH
National Provider Identifier
1003660366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35.150342
- Practice address
- 2042 E 102ND St
Cleveland, OH 44106-2120 - Phone
- (216) 444-2020
- NPI assigned
- Apr 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35.150342 | OH | Primary |
Addresses
Primary practice location
2042 E 102ND St
Cleveland, OH 44106-2120
Mailing address
3103-55 Gerrard St W
Toronto, ZZ - FOREIGN COUNTRIES M5G0B9
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.150342 | OH | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1003660366",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3103-55 GERRARD ST W",
"city": "TORONTO",
"state": "ZZ - FOREIGN COUNTRIES",
"postal_code": "M5G0B9"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2042 E 102ND ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062120",
"telephone_number": "216-444-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYEB",
"first_name": "SAFWAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-15",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35.150342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.