Sparkline Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPARKLINE MEDICAL LLC

Practice address

300 Chester Ave Ste 211
Moorestown, NJ 08057-2532

Phone

(856) 780-6207

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Robert Colon

Title

Owner

Phone

(856) 780-6207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1922865112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHESTER AVE STE 211",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHESTER AVE STE 211",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572532",
            "telephone_number": "856-780-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLINE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-780-6207"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Eye Physicians, LLC
• South Jersey Osteopathic Care Center, LLC
• South Jersey Smiles Inc.
• South Jersey Therapy Collective LLC
• Vincent Spagnuolo, M.D.
• Christine Spuler, PT, DPT
• Aashish Sreeram, PHARMD
• Lisa Adams Stackhouse, DO
• Seth Nels Stake, MD
• Kayla Soron Steele, MD

• Durable Medical Equipment & Medical Supplies in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.