CLASSIC WELLNESS FAMILY MEDICAL PRACTICE LLC
NPI 1376950279
Clinic/Center - Primary Care in Union, NJ
About Classic Wellness Family Medical Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLASSIC WELLNESS FAMILY MEDICAL PRACTICE LLC (NPI 1376950279) is a healthcare organization registered as a primary care in Union, New Jersey and active in the NPI registry since July 2014. The organization lists Daniel D Okoro, Doctor Of Nursing Practice, Apn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 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)
Classic Wellness Family Medical Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Classic Wellness Family Medical Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Classic Wellness Family Medical Practice LLC's NPI number?
The NPI number for Classic Wellness Family Medical Practice LLC is 1376950279. It was assigned to this organization in the NPPES registry on July 14, 2014.
Where is Classic Wellness Family Medical Practice LLC located?
Classic Wellness Family Medical Practice LLC is located at 1220 Victor Ave, Union, NJ 07083. The listed phone number is (718) 753-1721.
What is Classic Wellness Family Medical Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Classic Wellness Family Medical Practice LLC enrolled in Medicare?
Yes. Classic Wellness Family Medical Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Classic Wellness Family Medical Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Classic Wellness Family Medical Practice 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Classic Wellness Family Medical Practice LLC was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Classic Wellness Family Medical Practice Llc · NPI 1376950279
Primary Care organization in Union, New Jersey. Organization record, active in the CMS NPPES registry since July 14, 2014.
## Identity
- **NPI:** 1376950279 (Entity type: Organization)
- **Enumerated:** July 14, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Daniel Okoro, DOCTOR OF NURSING PRACTICE, APN
## Practice location
- **Address:** 1220 VICTOR AVE, Union, NJ 07083-3706
- **Phone:** (718) 753-1721
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2017
- **Other identifiers:** Medicaid 0453951 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1376950279) · Data from the CMS NPPES public registry.