Active NPI
Jubilee Cosmetic Surgery LLC
- Surgery Physician
- Silver Spring, MD
National Provider Identifier
1801625660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tsion Berhane, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | |||
| Surgery Physician | 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 DirectoryLocations
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.
-
- Surgery Physician
- Silver Spring, MD
- NPI 1255336962
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.