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.

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

Licensed Practical NursePrimary164W00000XLicense 300974 (NY)
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

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Mailing address