James Stephen Scillieri, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02522300 Issued in NJ

Practice address

19 Yawpo Ave
Oakland, NJ 07436-2739

Phone

(201) 337-4151

NPI assigned

May 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Paterson Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Paterson, NJ
  • NPI 1487694832
  Medicare reassignment

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1639515265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FAIRVIEW TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362739",
            "telephone_number": "201-337-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCILLIERI",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02522300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Sanders
• Danielle Sariyan, DPT
• Dale Schneider
• Susan Marie Schou, LPC, CSW, CADC
• James Joseph Scillieri, D.M.D.
• Burton Norman Seitler, PH.D.
• Jeanne Lee Seitler, PSYD
• Soheil Shahmiri, DDS
• Taylor Shaker, M.D, M.S.
• Ritaj Shoman

• General Practice Dentistry in Oakland, NJ
• Providers in Oakland, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.

Verify at the official NPI Registry.