- Practice location
- 143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022
- Phone
- 732-523-4057
- Fax
- —
- Last updated
- October 31, 2025
Spark Medical LLC is a healthcare organization based in Ridgewood, NJ. Spark Medical LLC practices in Ridgewood, NJ. The NPI Number for Spark Medical LLC is 1467321182. The current practice location address for Spark Medical LLC 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
- 1467321182
- Provider Name
- Spark Medical LLC
- 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
- October 31, 2025
- Last Update Date
- October 31, 2025
- Certification Date
- October 31, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 143 E Ridgewood Ave Unit 454
Ridgewood, NJ 07451-7022 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07451-7022
- Phone Number
- 732-523-4057
Provider Business Mailing Address Details
- Address
- 143 E Ridgewood Ave Unit 454
Ridgewood, NJ 07451-7022 - City
- Ridgewood
- State
- NJ
- Zip
- 07451-7022
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Ridgewood, NJ
View all Clinic/Centers in Ridgewood →- Christopher J. Leonard, MSW, LCSW, M.ed.Clinic/Center · NPI 1164968582
- Psychological & Neuropsychological Services LLCClinic/Center · NPI 1710219126
- Ridgewood Vein & Laser Center LLCClinic/Center · NPI 1154048114
- Spark Health Consulting IncorporatedClinic/Center · NPI 1174486815
- West Bergen Mental Healthcare, INC.Clinic/Center · NPI 1881755973
Frequently Asked Questions
What is the NPI number of Spark Medical LLC?
The NPI number of Spark Medical LLC is 1467321182. It was assigned on October 31, 2025 and is currently active in the NPPES registry.
What is the specialty of Spark Medical LLC?
Spark Medical LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Spark Medical LLC 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 1467321182 directly on the NPPES registry website.