FREDERICK SHIELDS
NPI 1104435981
Nurse Practitioner - Psychiatric/Mental Health in New Hyde Park, NY

Active since July 28, 2020
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-3768 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Frederick Shields NPPES

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

FREDERICK SHIELDS (NPI 1104435981) is an individual psychiatric/mental health provider in New Hyde Park, New York, licensed in New York (F403085) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1104435981
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFREDERICK SHIELDS
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address24228 130th RdRosedale, NY 11422-1143
Sole ProprietorNo
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
NPI 1104435981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F403085
27005 76TH AVE, New Hyde Park, NY 11040

Other Providers at the Same Location NPPES 20

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

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

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 Frederick Shields's NPI number?

The NPI number for Frederick Shields is 1104435981. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Frederick Shields located?

Frederick Shields practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-3768.

What is Frederick Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Frederick Shields was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.