James John Sciubba, D.M.D., PH.D.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

13772 Issued in MD

Practice address

9515 Deereco Rd
Suite 308
Timonium, MD 21093-2116

Phone

(410) 252-4885

Fax

(410) 252-0431

NPI assigned

Feb 8, 2006

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2013 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Johns Hopkins University

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1033190442
  NPD (past)
• Karl J. Zeren, D.D.S., LLC

  • Periodontics
  • Timonium, MD
  • NPI 1770816456
  NPD (past)
• Trinity Detox and Family Clinic Inc

  • Family Nurse Practitioner
  • Rosedale, MD
  • NPI 1295386233
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1780657130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD",
            "address_2": "SUITE 308",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932116",
            "telephone_number": "410-252-4885",
            "fax_number": "410-252-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 DEERECO RD",
            "address_2": "SUITE 308",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932116",
            "telephone_number": "410-252-4885",
            "fax_number": "410-252-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIUBBA",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MD",
            "license": "13772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Schlossenberg, OTR
• Kathlee Schmidt, PHARMD
• Eric D Schneider, P.T.
• Kathryn Scholtz, PT
• Gayle Swissman Schwartz, MD
• Rashard Scott
• Taylor Ivana Seaton, LMSW
• Jorge C. Secada-Lovio, M.D.
• Carol E. Seddon
• Jennifer Serene, LCSW-C

• Oral and Maxillofacial Pathology Dentistry in Timonium, MD
• Providers in Timonium, MD by specialty
• Oral and Maxillofacial Pathology Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.