Active NPIOrganization

Spark Health Consulting Incorporated

Clinic/Center in Ridgewood, New Jersey

NPI Number1174486815
Practice location
143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022
Fax
—
Last updated
December 9, 2025

Spark Health Consulting Incorporated is a healthcare organization based in Ridgewood, NJ. Spark Health Consulting Incorporated practices in Ridgewood, NJ. The NPI Number for Spark Health Consulting Incorporated is 1174486815. The current practice location address for Spark Health Consulting Incorporated is 143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022 and can be reached out via phone at 732-523-4057.

Provider Profile Details

NPI Number
1174486815
Provider Name
Spark Health Consulting Incorporated
Provider Entity Type
Organization
Address
143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022
Phone Number
732-523-4057
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Paul Park · MD · 732-523-4057
Provider Enumeration Date
December 9, 2025
Last Update Date
December 9, 2025
Certification Date
December 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
143 E Ridgewood Ave Unit 454
Ridgewood, NJ 07451-7022
Zip
07451-7022
Phone Number
732-523-4057
Ridgewood, NJ 07451Get directions →

Provider Business Mailing Address Details

Address
143 E Ridgewood Ave Unit 454
Ridgewood, NJ 07451-7022
City
Ridgewood
State
NJ
Zip
07451-7022
Phone Number
732-523-4057

License Information

Taxonomy
Clinic/Center · 261Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Spark Health Consulting Incorporated?

The NPI number of Spark Health Consulting Incorporated is 1174486815. It was assigned on December 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Spark Health Consulting Incorporated?

Spark Health Consulting Incorporated is registered under the primary taxonomy Clinic/Center (code 261Q00000X).

Where does Spark Health Consulting Incorporated practice?

The practice location is 143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022. The office can be reached at 732-523-4057 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174486815 directly on the NPPES registry website.

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