Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Classic Medical Practice

Organization Internal Medicine Physician · NPI 1255165072

Classic Medical Practice is an Internal Medicine Physician in Union, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

540 N Ave Ste 3
Union, NJ 07083-7149
Phone: (718) 753-1721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1255165072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Okoro — Chief Executive Office · (908) 230-2750
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address1105 Galloping Hill Rd, Elizabeth, NJ 07208-1008

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