THE SHIELD INSTITUTE
NPI 1184661290
Clinic/Center in Bayside, NY

Q: What is The Shield Of David, Inc.'s NPI number?

The NPI number for The Shield Of David, Inc. is 1184661290. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as The Shield Institute.

Q: What is The Shield Of David, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 31, 2006

3909 214TH PL, BAYSIDE, NY 11361(718) 269-2004 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Shield Institute NPPES

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

THE SHIELD INSTITUTE (NPI 1184661290) is a healthcare organization registered as a clinic/center in Bayside, New York and active in the NPI registry since May 2006. The organization maintains 5 additional practice locations and lists Susan Provenzano, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184661290

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTHE SHIELD OF DAVID, INC.

Location Address3909 214TH PLBayside, NY 11361-2123

Mailing Address144-61 Roosevelt AvenueFlushing, NY 11354

Phone(718) 269-2004

Organization SubpartNo

Authorized OfficialSusan ProvenzanoExecutive Director · (718) 886-1682

Enumeration DateMay 31, 2006

Last NPPES UpdateApril 24, 2018

✔ NPI 1184661290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in NY · 6593164

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3909 214TH PL, Bayside, NY 11361

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Other Names 1

Doing Business AsThe Shield Institute

Secondary Practice Locations 5

Location 11042 38th StBrooklyn, NY 11219-1011 · Phone (718) 854-2747

Location 24234 Vireo AveBronx, NY 10470-2412 · Phone (718) 269-2004

Location 3471 McLean AveYonkers, NY 10705-5606 · Phone (718) 269-2004

Location 414461 Roosevelt AveFlushing, NY 11354-6252 · Phone (718) 939-8700 ext. 1311 · Fax (718) 939-0881

Location 56135 220th StOakland Gardens, NY 11364-2244 · Phone (718) 423-9550

Other Identifiers 1

Medicaid00243949NY

Other Providers at the Same Location NPPES 10

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

GIULIA FAGAN

Social Worker (Clinical)