CLASSIC MEDICAL PRACTICE
NPI 1255165072
Clinic/Center - Multi-Specialty in Union, NJ

Q: What is Classic Medical Practice's NPI number?

The NPI number for Classic Medical Practice is 1255165072. It was assigned to this organization in the NPPES registry on August 26, 2024.

Q: What is Classic Medical Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 26, 2024

540 NORTH AVE STE 3, UNION, NJ 07083(718) 753-1721 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Classic Medical Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLASSIC MEDICAL PRACTICE (NPI 1255165072) is a healthcare organization registered as a multi-specialty in Union, New Jersey and active in the NPI registry since August 2024. The organization lists Daniel Okoro, Chief Executive Office, as its authorized official.

NPPES Registry Identity

NPI1255165072

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCLASSIC MEDICAL PRACTICE

Location Address540 NORTH AVE STE 3Union, NJ 07083-7149

Mailing Address1105 Galloping Hill RdElizabeth, NJ 07208-1008 · (908) 230-2750

Phone(718) 753-1721

Organization SubpartNo

Authorized OfficialDaniel OkoroChief Executive Office · (908) 230-2750

Enumeration DateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1255165072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

540 NORTH AVE STE 3, Union, NJ 07083

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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORIOUS DAWN MENTAL HEALTH SERVICES LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

540 NORTH AVE STE 3
UNION, NJ 07083

Union County (201) 470-6198

CLASSIC WELLNESS FAMILY MENTAL HEALTH PRACTICE LLC

Nurse Practitioner (Psychiatric/Mental Health)

540 NORTH AVE STE 3
UNION, NJ 07083

Union County (718) 325-4669

MRS. LYNDA NNEKA UZONWANNE

Nurse Practitioner (Psychiatric/Mental Health)

540 NORTH AVE STE 3
UNION, NJ 07083

Union County (908) 588-2445

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 Classic Medical Practice's NPI number?

The NPI number for Classic Medical Practice is 1255165072. It was assigned to this organization in the NPPES registry on August 26, 2024.

Where is Classic Medical Practice located?

Classic Medical Practice is located at 540 North Ave Ste 3, Union, NJ 07083. The listed phone number is (718) 753-1721.

What is Classic Medical Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Classic Medical Practice was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.