Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Icc Medical Group, LLC

Organization Chiropractor · NPI 1215749908

Icc Medical Group, LLC is a Chiropractor in Clifton, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

721 Clifton Ave Ste 101
Clifton, NJ 07013-1880
Phone: (973) 343-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1215749908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fernando Barrese — Owner · (973) 343-5190
NPI enumeratedJanuary 21, 2025
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address721 Clifton Ave Ste 101, Clifton, NJ 07013-1880

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