ICC MEDICAL GROUP, LLC
NPI 1215749908
Chiropractor in Clifton, NJ
About Icc Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ICC MEDICAL GROUP, LLC (NPI 1215749908) is a healthcare organization registered as a chiropractor in Clifton, New Jersey and active in the NPI registry since January 2025. The organization lists Fernando Barrese, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Icc Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Icc Medical Group, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Icc Medical Group, LLC's NPI number?
The NPI number for Icc Medical Group, LLC is 1215749908. It was assigned to this organization in the NPPES registry on January 21, 2025.
Where is Icc Medical Group, LLC located?
Icc Medical Group, LLC is located at 721 Clifton Ave Ste 101, Clifton, NJ 07013. The listed phone number is (973) 343-5190.
What is Icc Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Icc Medical Group, LLC enrolled in Medicare?
Yes. Icc Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Icc Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Icc Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Icc Medical Group, LLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Icc Medical Group, Llc · NPI 1215749908
Chiropractor organization in Clifton, New Jersey. Organization record, active in the CMS NPPES registry since January 21, 2025.
## Identity
- **NPI:** 1215749908 (Entity type: Organization)
- **Enumerated:** January 21, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Fernando Barrese, OWNER
## Practice location
- **Address:** 721 CLIFTON AVE STE 101, Clifton, NJ 07013-1880
- **Phone:** (973) 343-5190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215749908) · Data from the CMS NPPES public registry.