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ICC MEDICAL GROUP, LLC
NPI 1215749908
Chiropractor in Clifton, NJ

Active since January 21, 2025
721 CLIFTON AVE STE 101, CLIFTON, NJ 07013(973) 343-5190 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1215749908
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameICC MEDICAL GROUP, LLC
Location Address721 CLIFTON AVE STE 101Clifton, NJ 07013-1880
Mailing Address721 Clifton Ave Ste 101Clifton, NJ 07013-1880 · (973) 343-5190
Phone(973) 343-5190
Organization SubpartNo
Authorized OfficialFernando BarreseOwner · (973) 343-5190
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1215749908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
721 CLIFTON AVE STE 101, Clifton, NJ 07013
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

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 18 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.