SPARK DEMENTIA CARE, P.A.
NPI 1720892862
Psychiatry & Neurology - Neurology in New York, NY
About Spark Dementia Care, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPARK DEMENTIA CARE, P.A. (NPI 1720892862) is a healthcare organization registered as a neurology in New York, New York and active in the NPI registry since February 2025. The organization lists M. Justin Coffey, President/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Dementia Care, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Spark Dementia Care, P.A., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Dementia Care, P.A.'s NPI number?
The NPI number for Spark Dementia Care, P.A. is 1720892862. It was assigned to this organization in the NPPES registry on February 6, 2025.
Where is Spark Dementia Care, P.A. located?
Spark Dementia Care, P.A. is located at 224 W 35th St Ste 500 #2031, New York, NY 10001. The listed phone number is (212) 201-9292.
What is Spark Dementia Care, P.A.'s specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Spark Dementia Care, P.A. enrolled in Medicare?
Yes. Spark Dementia Care, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spark Dementia Care, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Spark Dementia Care, P.A., in Nurse Practitioner and Psychiatry. 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 Dementia Care, P.A. was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 Dementia Care, P.a. · NPI 1720892862
Neurology organization in New York, New York. Organization record, active in the CMS NPPES registry since February 6, 2025.
## Identity
- **NPI:** 1720892862 (Entity type: Organization)
- **Enumerated:** February 6, 2025
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** M. Coffey, PRESIDENT/DIRECTOR
## Practice location
- **Address:** 224 W 35TH ST STE 500, #2031, New York, NY 10001
- **Phone:** (212) 201-9292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720892862) · Data from the CMS NPPES public registry.