Individual provider Active NPI

May Lynn Siu, DDS

  • Pediatric Dentistry
  • Newburgh, NY
National Provider Identifier
1780204313
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
062570 Issued in NY
Practice address
5 HDSN Vly Prof PLZ
Newburgh, NY 12550-3150
Phone
(845) 562-5570
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DI02910400 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 062570 NY Primary

Addresses

Primary practice location

5 HDSN Vly Prof PLZ
Newburgh, NY 12550-3150

Mailing address

52 Leonard St Unit 211
Beacon, NY 12508-3459
Phone (917) 971-0149

Other practice location 1

180 N Dean St Ste 1
Englewood, NJ 07631-2534
Phone (201) 569-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02910400NJMDPediatric Dentist
062570NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Dental Care Current Accepting new patients

Locations

5 Hdsn Vly Prof Plz
Newburgh, NY 12550
Phone (845) 562-5570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1780204313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LEONARD ST UNIT 211",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083459",
            "telephone_number": "917-971-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HDSN VLY PROF PLZ",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503150",
            "telephone_number": "845-562-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Dean St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312534",
            "country_code": "US",
            "telephone_number": "201-569-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIU",
        "first_name": "MAY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02910400",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "062570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.