Spark Inspiration Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SPARK INSPIRATION LABORATORY, LLC

Practice address

37 W Century Rd, Suite 100a
Paramus, NJ 07652-1466

Phone

(862) 571-6906

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Zowie Marcano

Title

Chief Operating Officer

Phone

(862) 571-6906

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spark Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1649765660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD, SUITE 100A",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "862-208-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD, SUITE 100A",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "862-571-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK INSPIRATION LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "MARCANO",
        "authorized_official_first_name": "ZOWIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "862-571-6906"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0732290",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frankki Sorce
• Olanrewaju Alade Soremekun, MD
• Lourdes M Sosa
• Jaclyn M Spagnuolo, LCSW
• Brielle Ava Spangenberg, M.A, BCBA
• Spectrum Achievers ABA Texas
• Spectrum for Living Development, Inc.
• Gardan Speights, LCSW
• Shoshana Sperling, DDS
• Akosua Spigner, RPH

• All providers in Paramus, NJ
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.