Active NPI
Nayef Mazloum
- Family Nurse Practitioner
- Sylvania, OH
National Provider Identifier
1104471796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0040016
- Practice address
- 5200 Harroun Rd
Sylvania, OH 43560-2168 - Phone
- (567) 585-0380
- Fax
- (567) 585-0381
- NPI assigned
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0040016 | OH | Primary |
| Registered Nurse | 163W00000X | 4704377060 | OH |
Addresses
Primary practice location
5200 Harroun Rd
Sylvania, OH 43560-2168
Mailing address
5200 Harroun Rd
Sylvania, OH 43560-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Michigan Medical School, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704377060 | OH | MD | Registered Nurse |
| APRN.CNP.0040016 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Multi Specialty Physicians | Current | Accepting new patients | |
| Oakland Lung & Sleep Specialists PLLC | Current | Accepting new patients |
Locations
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1306105150
-
- Internal Medicine Physician
- Warren, MI
- NPI 1265322291
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1629848957
-
- Pulmonary Disease Physician
- Auburn Hills, MI
- NPI 1720671209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1104471796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602168",
"telephone_number": "567-585-0380",
"fax_number": "567-585-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZLOUM",
"first_name": "NAYEF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0040016",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "4704377060",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.