Spark Medical LLC
NPI 1467321182 · Clinic/Center · Ridgewood, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spark Medical LLC is a Clinic/Center organization in Ridgewood, NJ (NPI 1467321182).
Provider details
- NPI number
- 1467321182
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Park, MD(732) 523-4057
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-31
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Spark Medical LLC's NPI number?
- Spark Medical LLC's National Provider Identifier (NPI) is 1467321182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Medical LLC?
- Spark Medical LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spark Medical LLC located?
- Spark Medical LLC's practice location on file with NPPES is 143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022.
- What is Spark Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Spark Medical LLC is (732) 523-4057.
- Does Spark Medical LLC accept Medicare?
- Spark Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spark Medical LLC?
- The authorized official listed on Spark Medical LLC's NPPES record is Paul Park, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Medical LLC's NPI active?
- Yes — Spark Medical LLC's NPI (1467321182) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.