1649765660 NPI number — SPARK INSPIRATION LABORATORY, LLC

Table of content: (NPI 1649765660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649765660 NPI number — SPARK INSPIRATION LABORATORY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPARK INSPIRATION LABORATORY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649765660
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
37 W CENTURY RD, SUITE 100A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARAMUS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07652-1466
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
862-208-9876
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37 W CENTURY RD, SUITE 100A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAMUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07652-1466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
862-571-6906
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2018

Additional Information

Authorized Official

Authorized Official Last Name:
MARCANO
Authorized Official First Name:
ZOWIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
862-571-6906

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0732290 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103870500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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