Icc Medical Group, LLC
NPI 1215749908ActiveOrganization· Chiropractor· Clifton, NJ
Chiropractor in Clifton, New Jersey, registered in NPPES in January 2025. The authorized official on file is Fernando Barrese, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215749908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2025 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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