Spark Health Consulting Incorporated

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPARK HEALTH CONSULTING INCORPORATED

Practice address

143 E Ridgewood Ave Unit 454
Ridgewood, NJ 07451-7022

Phone

(732) 523-4057

NPI assigned

Dec 9, 2025

Last updated

Dec 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul ParkNPI 1265879167

Title

MD

Phone

(732) 523-4057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Park, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1265879167

  NJ

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1174486815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E RIDGEWOOD AVE UNIT 454",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074517022",
            "telephone_number": "732-523-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E RIDGEWOOD AVE UNIT 454",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074517022",
            "telephone_number": "732-523-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK HEALTH CONSULTING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-523-4057"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Son
• Carol Ann O'Hagan Sotsky, M.D.
• Gerald Sotsky, MD
• Mark Ira Sotsky, MD
• Jennifer Souh
• Spark Medical LLC
• Specialty Orthopaedics of New Jersey, PA
• Pamela Speck
• Lauren Spodak, LCSW
• Sports Barre Physical Therapy LLC

• Clinic/Center in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.