IndividualActive
Shine David
NPI 1053746065 · Licensed Practical Nurse · Bay Shore, NY
Shine David is a Licensed Practical Nurse provider in Bay Shore, NY (NPI 1053746065).
Provider details
- NPI number
- 1053746065
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 300974 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1215 Udall Rd
Bay Shore, NY 11706-1909
Phone: (631) 877-3153
Street-level locationGet directions
Mailing address
1215 Udall Rd
Bay Shore, NY 11706-1909
Registry dates
- Enumerated
- 2013-09-09
- Last updated
- 2013-09-09
Frequently asked questions
- What is Shine David's NPI number?
- Shine David's National Provider Identifier (NPI) is 1053746065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shine David's specialty?
- Shine David is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Shine David located?
- Shine David's practice location on file with NPPES is 1215 Udall Rd, Bay Shore, NY 11706-1909.
- What is Shine David's phone number?
- The practice phone number listed in the NPPES registry for Shine David is (631) 877-3153.
- Is Shine David's NPI active?
- Yes — Shine David's NPI (1053746065) is active in the NPPES registry as of the last update on 2013-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.