SPARK HEALTH CONSULTING INCORPORATED
NPI 1174486815
Clinic/Center in Ridgewood, NJ
About Spark Health Consulting Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPARK HEALTH CONSULTING INCORPORATED (NPI 1174486815) is a healthcare organization registered as a clinic/center in Ridgewood, New Jersey and active in the NPI registry since December 2025. The organization lists Paul Park, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spark Health Consulting Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Spark Health Consulting Incorporated, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Spark Health Consulting Incorporated's NPI number?
The NPI number for Spark Health Consulting Incorporated is 1174486815. It was assigned to this organization in the NPPES registry on December 9, 2025.
Where is Spark Health Consulting Incorporated located?
Spark Health Consulting Incorporated is located at 143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451. The listed phone number is (732) 523-4057.
What is Spark Health Consulting Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Spark Health Consulting Incorporated enrolled in Medicare?
Yes. Spark Health Consulting Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spark Health Consulting Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Spark Health Consulting Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Spark Health Consulting Incorporated was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Spark Health Consulting Incorporated · NPI 1174486815
Clinic/Center organization in Ridgewood, New Jersey. Organization record, active in the CMS NPPES registry since December 9, 2025.
## Identity
- **NPI:** 1174486815 (Entity type: Organization)
- **Enumerated:** December 9, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Paul Park, MD
## Practice location
- **Address:** 143 E RIDGEWOOD AVE UNIT 454, Ridgewood, NJ 07451-7022
- **Phone:** (732) 523-4057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174486815) · Data from the CMS NPPES public registry.