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

Classic Wellness Family Medical Practice LLC

Organization Family Medicine Physician · NPI 1376950279

Classic Wellness Family Medical Practice LLC is a Family Medicine Physician 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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