Organization Active NPI

Jubilee Cosmetic Surgery LLC

  • Surgery Physician
  • Silver Spring, MD
National Provider Identifier
1801625660
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JUBILEE COSMETIC SURGERY LLC
Practice address
1400 Spring St Ste 120
Silver Spring, MD 20910-2756
Phone
(240) 641-4591
Fax
(301) 960-3337
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Dr. Tsion Berhane, MDNPI 1255336962
Title
Medical Director
Phone
(240) 641-4591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1400 Spring St Ste 120
Silver Spring, MD 20910-2756

Mailing address

1400 Spring St Ste 120
Silver Spring, MD 20910-2756
Phone (240) 641-4591

National Provider Directory

National Provider Directory

Locations

1400 Spring St
Ste 120
Silver Spring, MD 20910
Phone (240) 641-4591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1801625660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST STE 120",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102756",
            "telephone_number": "240-641-4591",
            "fax_number": "301-960-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SPRING ST STE 120",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102756",
            "telephone_number": "240-641-4591",
            "fax_number": "301-960-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE COSMETIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "BERHANE",
        "authorized_official_first_name": "TSION",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-641-4591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.