Individual provider Active NPI

Jonathan Ari Cabin, M.D.

  • Facial Plastic Surgery Physician
  • Arlington, VA
National Provider Identifier
1114244084
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
0101271072 Issued in VA
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

Updated by the provider on Jul 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261903NYMDHome Health Registered Nurse
A135174CAMDFacial Plastic Surgery Physician
MD048906DCMDFacial Plastic Surgery Physician
D0090838MDMDFacial 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

Verify at the official NPI Registry.