Paul James Siu, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

041252-1 Issued in NY

Practice address

57 W 58TH St
New York, NY 10019-1630

Phone

(212) 838-0017

Fax

(212) 759-9466

NPI assigned

May 10, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104030832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-838-0017",
            "fax_number": "212-759-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-838-0017",
            "fax_number": "212-759-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIU",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041252-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chia Yun Siu
• Henry Kar Hang Siu, M.D.
• Kam-Woon Denny Siu, LCSW
• Lisa Siu, D.M.D
• Liza Siu, OTR/L
• Selina Siu, MD
• Anthony Joseph Siudela
• Ewa M Siuzdak
• Sivad Productions, Inc
• Mark Sivak, M.D.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.