NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

The Shield of David, Inc.

Clinic/Center in Bayside, NY · enumerated 2006 · authorized official Susan Provenzano, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184661290

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name The Shield of David, Inc.
Other name <Unavail>
Practice address 3909 214th Pl, Bayside, NY, 11361
Phone (718) 269-2004
Enumeration date May 31, 2006
Last updated in NPPES Apr 24, 2018

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 6593164 (NY) Primary

Authorized official

Name Susan Provenzano
Title Executive Director
Phone (718) 886-1682

Other identifiers

Identifier Type State Issuer
00243949 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is The Shield of David, Inc. located?
The practice location on file with NPPES is in Bayside, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-04-24. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-24.