The Shield of David, Inc.
NPI 1184661290 · Clinic/Center · Bayside, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Shield of David, Inc. is a Clinic/Center organization in Bayside, NY (NPI 1184661290).
Provider details
- NPI number
- 1184661290
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Provenzano, Executive Director(718) 886-1682
- License
- 6593164 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- The Shield Institute
Additional practice locations (5)
- 4234 Vireo AveBronx, NY 10470-2412Phone: (718) 269-2004
- 1042 38th StBrooklyn, NY 11219-1011Phone: (718) 854-2747
- 14461 Roosevelt AveFlushing, NY 11354-6252Phone: (718) 939-8700Fax: (718) 939-0881
- 6135 220th StOakland Gardens, NY 11364-2244Phone: (718) 423-9550
- 471 Mclean AveYonkers, NY 10705-5606Phone: (718) 269-2004
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2018-04-24
Frequently asked questions
- What is The Shield of David, Inc.'s NPI number?
- The Shield of David, Inc.'s National Provider Identifier (NPI) is 1184661290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Shield of David, Inc.?
- The Shield of David, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Shield of David, Inc. located?
- The Shield of David, Inc.'s practice location on file with NPPES is 3909 214th Pl, Bayside, NY 11361-2123.
- What is The Shield of David, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for The Shield of David, Inc. is (718) 269-2004.
- Does The Shield of David, Inc. accept Medicare?
- The Shield of David, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Shield of David, Inc.?
- The authorized official listed on The Shield of David, Inc.'s NPPES record is Susan Provenzano, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Shield of David, Inc.'s NPI active?
- Yes — The Shield of David, Inc.'s NPI (1184661290) is active in the NPPES registry as of the last update on 2018-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.