OrganizationActive
Classic Wellness Family Medical Practice LLC
NPI 1376950279 · Primary Care Clinic/Center · Union, NJ
Provider details
- NPI number
- 1376950279
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Okoro, Doctor of Nursing Practice, Apn(718) 753-1721
- License
- 26NJ00257300 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1220 Victor Ave
Union, NJ 07083-3706
Phone: (718) 753-1721
Approximate (ZIP-level) locationGet directions
Mailing address
1220 Victor Ave
Union, NJ 07083-3706
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.