Active NPI
Jonathan Ari Cabin, M.D.
- Facial Plastic Surgery Physician
- Arlington, VA
National Provider Identifier
1114244084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 0101271072
- Practice address
- 1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470 - Phone
- (703) 214-6496
- Fax
- (844) 357-7049
- NPI assigned
- Apr 30, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MD048906 | DC | |
| Facial Plastic Surgery Physician | 207YS0123X | 261903 | NY | |
| Facial Plastic Surgery Physician | 207YS0123X | A135174 | CA | |
| Facial Plastic Surgery Physician | 207YS0123X | D0090838 | MD | |
| Facial Plastic Surgery Physician | 207YS0123X | 0101271072 | VA | Primary |
Addresses
Primary practice location
1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470
Mailing address
1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470
Phone (703) 214-6496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261903 | NY | MD | Home Health Registered Nurse |
| A135174 | CA | MD | Facial Plastic Surgery Physician |
| MD048906 | DC | MD | Facial Plastic Surgery Physician |
| D0090838 | MD | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1114244084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 WILSON BLVD STE 125",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092470",
"telephone_number": "703-214-6496",
"fax_number": "844-357-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 WILSON BLVD STE 125",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092470",
"telephone_number": "703-214-6496",
"fax_number": "844-357-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABIN",
"first_name": "JONATHAN",
"middle_name": "ARI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-30",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "DC",
"license": "MD048906",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "261903",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A135174",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MD",
"license": "D0090838",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "VA",
"license": "0101271072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.