DR. SEBU IDICULLA DMD
NPI 1245306406
Dentist - General Practice in North Haledon, NJ

Q: What is Sebu Idiculla's NPI number?

The NPI number for Sebu Idiculla is 1245306406. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Sebu Idiculla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sebu Idiculla was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2006PECOS Enrolled

5 SICOMAC RD, SUITE 12, NORTH HALEDON, NJ 07508(973) 423-3399(973) 423-4828 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Sebu Idiculla Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEBU IDICULLA DMD (NPI 1245306406) is an individual general practice provider in North Haledon, New Jersey, licensed in New Jersey (22DI02241500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245306406

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SEBU IDICULLACredential: DMD

Location Address5 SICOMAC RD, SUITE 12North Haledon, NJ 07508-2972

Mailing Address5 Sicomac Rd, Suite 12North Haledon, NJ 07508-2972 · (973) 423-3399 · Fax (973) 423-4828

Phone(973) 423-3399

Fax(973) 423-4828

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateApril 19, 2011

✔ NPI 1245306406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 22DI02241500

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 SICOMAC RD, North Haledon, NJ 07508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sebu Idiculla Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGH MOUNTAIN FAMILY CHIROPRACTIC

Chiropractor

5 SICOMAC RD
NORTH HALEDON, NJ 07508

Passaic County (973) 304-1910

DR. ALLAN BRAUNSTEIN D.M.D.

Dentist (Orthodontics and Dentofacial Orthopedics)

5 SICOMAC RD
NORTH HALEDON, NJ 07508

Passaic County (973) 427-8020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sebu Idiculla's NPI number?

The NPI number for Sebu Idiculla is 1245306406. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Sebu Idiculla located?

Sebu Idiculla practices at 5 Sicomac Rd Suite 12, North Haledon, NJ 07508. The listed phone number is (973) 423-3399.

What is Sebu Idiculla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sebu Idiculla enrolled in Medicare?

Yes. Sebu Idiculla is registered in the Medicare PECOS enrollment system.

What insurance does Sebu Idiculla accept?

Health plans from Humana list Sebu Idiculla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sebu Idiculla was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.