Simultaneous nitrification and denitrification of ammonia and organic compounds-containing wastewater were performed in a fluidized bed biofilm reactor with polysulfone(PS) hollow fiber as a double layer biomass carrier. The PS hollow fiber fragment has both aerobic and anoxic environments for the nitrifiaction and denitrification at the shell and lumen-side respectively. The reactor system showed about 80% nitrification efficiency stably throughout the ammonia load conditions applied in the experiment. Denitrification efficiency depended on organic load and C/N ratio. High free ammonia concentration and low dissolved oxygen resulted in nitrite accumulation which leads to enhance organic carbon efficiency in denitrification when compared to nitrate denitrification. The simultaneous nitrification and denitrification reactor system has an economic advantages in reduced chemical cost of organic carbon for denitrification as well as compact reactor configuration.