Active NPI
Nga Yan Siu, DO
- Ophthalmology Physician
- Southampton, NY
National Provider Identifier
1902284169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 288888
- Practice address
- 67 Hampton Rd
Southampton, NY 11968-4962 - Phone
- (631) 444-4796
- NPI assigned
- May 8, 2015
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MB11046700 | NJ | |
| Ophthalmology Physician | 207W00000X | 288888 | NY | Primary |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 288888 | NY | |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 25MB11046700 | NJ |
Addresses
Primary practice location
67 Hampton Rd
Southampton, NY 11968-4962
Mailing address
67 Hampton Rd
Southampton, NY 11968-4962
Other practice location 1
1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 374-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-4090
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11046700 | NJ | MD | Ophthalmology Physician |
| 288888 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Ophthalmology, University Faculty Practice Corporation | Ophthalmology | Current | Accepting new patients |
Locations
67 Hampton Rd
Unit 12
Southampton, NY 11968
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- nsiu@sbumc.ecldirect.net
- nsiu1372645@nychhc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Stony Brook, NY
- NPI 1700831195
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1902284169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 HAMPTON RD",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 HAMPTON RD",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684962",
"telephone_number": "631-444-4796"
}
],
"practiceLocations": [
{
"address_1": "1 N Washington Ave",
"address_purpose": "LOCATION",
"city": "Bergenfield",
"state": "NJ",
"postal_code": "076212125",
"country_code": "US",
"telephone_number": "201-374-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIU",
"first_name": "NGA YAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MB11046700",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "288888",
"primary": true
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "NY",
"license": "288888",
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "NJ",
"license": "25MB11046700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.