Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spark Medical LLC

Organization Clinic/Center · NPI 1467321182

Spark Medical LLC is a Clinic/Center in Ridgewood, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 E Ridgewood Ave Unit 454
Ridgewood, NJ 07451-7022
Phone: (732) 523-4057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1467321182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Park — Md · (732) 523-4057
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address143 E Ridgewood Ave Unit 454, Ridgewood, NJ 07451-7022

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