SHINE P DAVID
NPI 1053746065
Licensed Practical Nurse in Bay Shore, NY

Q: What is Shine David's NPI number?

The NPI number for Shine David is 1053746065. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Q: What is Shine David's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shine David was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2013

1215 UDALL RD, BAY SHORE, NY 11706(631) 877-3153 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shine P David NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINE P DAVID (NPI 1053746065) is an individual licensed practical nurse in Bay Shore, New York, licensed in New York (300974) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1053746065

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameSHINE P DAVID

Location Address1215 UDALL RDBay Shore, NY 11706-1909

Mailing Address1215 Udall RdBay Shore, NY 11706-1909 · (631) 877-3153

Phone(631) 877-3153

Sole ProprietorYes

Enumeration DateSeptember 9, 2013

✔ NPI 1053746065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 300974

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1215 UDALL RD, Bay Shore, NY 11706

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOJYMOL JOSEPH

Licensed Practical Nurse

1215 UDALL RD
BAY SHORE, NY 11706

Suffolk County (631) 877-3153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine David's NPI number?

The NPI number for Shine David is 1053746065. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Shine David located?

Shine David practices at 1215 Udall Rd, Bay Shore, NY 11706. The listed phone number is (631) 877-3153.

What is Shine David's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shine David was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.