CLASSIC WELLNESS FAMILY MEDICAL PRACTICE LLC
NPI 1376950279
Clinic/Center - Primary Care in Union, NJ

Active since July 14, 2014
1220 VICTOR AVE, UNION, NJ 07083(718) 753-1721 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1376950279
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLASSIC WELLNESS FAMILY MEDICAL PRACTICE LLC
Location Address1220 VICTOR AVEUnion, NJ 07083-3706
Mailing Address1220 Victor AveUnion, NJ 07083-3706 · (718) 753-1721
Organization SubpartNo
Authorized OfficialDaniel D OkoroDoctor Of Nursing Practice, Apn · (718) 753-1721
Enumeration DateJuly 14, 2014
Last NPPES UpdateApril 27, 2017
NPI 1376950279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NJ · 26NJ00257300
Also ListedFamily MedicineTaxonomy 207Q00000X · License 26NJ00257300 (NJ)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 26NJ00257300 (NJ)
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License 26NJ00257300 (NJ)
1220 VICTOR AVE, Union, NJ 07083

Other Identifiers 1

Medicaid0453951NJ

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1220 VICTOR AVE
UNION, NJ 07083

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.

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.