Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Classic Wellness Family Medical Practice LLC

Organization Family Medicine Physician · NPI 1376950279

Classic Wellness Family Medical Practice LLC provides Family Medicine Physician services in Union, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
Specialties on file
4
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

1220 Victor Ave
Union, NJ 07083-3706
Phone: (718) 753-1721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 26NJ00257300 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26NJ00257300 (NJ)
General Practice Physician Taxonomy 208D00000X · Licence 26NJ00257300 (NJ)
Pain Clinic/Center Taxonomy 261QP3300X · Licence 26NJ00257300 (NJ)

Record details

NPI number1376950279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Okoro — Doctor Of Nursing Practice, Apn · (718) 753-1721
NPI enumeratedJuly 14, 2014
Last updated in NPPESApril 27, 2017
Mailing address1220 Victor Ave, Union, NJ 07083-3706

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