SPARK MEDICAL LLC
NPI 1467321182
Clinic/Center in Ridgewood, NJ

Q: What is Spark Medical LLC's NPI number?

The NPI number for Spark Medical LLC is 1467321182. It was assigned to this organization in the NPPES registry on October 31, 2025.

Q: What is Spark Medical LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Spark Medical LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 31, 2025

143 E RIDGEWOOD AVE UNIT 454, RIDGEWOOD, NJ 07451(732) 523-4057 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spark Medical Llc NPPES

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

SPARK MEDICAL LLC (NPI 1467321182) is a healthcare organization registered as a clinic/center in Ridgewood, New Jersey and active in the NPI registry since October 2025. The organization lists Paul Park, Md, as its authorized official.

NPPES Registry Identity

NPI1467321182

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSPARK MEDICAL LLC

Location Address143 E RIDGEWOOD AVE UNIT 454Ridgewood, NJ 07451-7022

Mailing Address143 E Ridgewood Ave Unit 454Ridgewood, NJ 07451-7022

Phone(732) 523-4057

Organization SubpartNo

Authorized OfficialPaul ParkMd · (732) 523-4057

Enumeration DateOctober 31, 2025

NPPES CertifiedOctober 31, 2025

✔ NPI 1467321182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

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).

143 E RIDGEWOOD AVE UNIT 454, Ridgewood, NJ 07451

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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.

SPARK HEALTH CONSULTING INCORPORATED

Clinic/Center

143 E RIDGEWOOD AVE UNIT 454
RIDGEWOOD, NJ 07451

Bergen County (732) 523-4057

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 Medical LLC's NPI number?

The NPI number for Spark Medical LLC is 1467321182. It was assigned to this organization in the NPPES registry on October 31, 2025.

Where is Spark Medical LLC located?

Spark Medical LLC is located at 143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451. The listed phone number is (732) 523-4057.

What is Spark Medical LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Spark Medical LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.