Individual provider Active NPI

Albert Siu, M.D.

  • Nephrology Physician
  • Bergenfield, NJ
National Provider Identifier
1063668895
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA08434200 Issued in NJ
Practice address
10 Palisade Ave
Bergenfield, NJ 07621-2321
Phone
(201) 385-9810
Fax
(201) 385-9812
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 25MA08434200 NJ Primary

Addresses

Primary practice location

10 Palisade Ave
Bergenfield, NJ 07621-2321

Mailing address

10 Palisade Ave
Bergenfield, NJ 07621-2321
Phone (201) 385-9810

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000052 NJ Practitioner - NephrologyPractitioner - Internal Medicine 6204998594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Palisade Ave
Bergenfield, NJ 07621-2321
Phone (862) 862-6667

526 Bloomfield Ave
Suite 104
Caldwell, NJ 07006-5564
Phone (973) 226-0500

Hospital & facility affiliations

  • Mountainside Hospital Dialysis facility, Montclair, NJ, CCN 312331
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Nephrology & Hypertension Multi-Specialty CurrentSince Jul 7, 2011 Accepting new patients
New Jersey Kidney Care LLC Multi-Specialty PastSince Sep 1, 2017 Accepting new patients
Vitality Medical Associates Multi-Specialty Past Accepting new patients
Eye Centers of America, LLC Multi-Specialty Past Accepting new patients

Locations

10 Palisade Ave
Bergenfield, NJ 07621
Phone (201) 385-9810

526 Bloomfield Ave
Ste 104
Caldwell, NJ 07006
Phone (973) 226-0500

230 Sherman Ave
Ste A
Glen Ridge, NJ 07028
Phone (201) 989-5659

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1063668895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PALISADE AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212321",
            "telephone_number": "201-385-9810",
            "fax_number": "201-385-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PALISADE AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212321",
            "telephone_number": "201-385-9810",
            "fax_number": "201-385-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08434200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.