Classic Wellness Family Medical Practice LLC
NPI 1376950279 · Primary Care Clinic/Center · Union, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Classic Wellness Family Medical Practice LLC is a Primary Care Clinic/Center organization in Union, NJ (NPI 1376950279).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2017-04-27
Frequently asked questions
- What is Classic Wellness Family Medical Practice LLC's NPI number?
- Classic Wellness Family Medical Practice LLC's National Provider Identifier (NPI) is 1376950279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Classic Wellness Family Medical Practice LLC?
- Classic Wellness Family Medical Practice LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Classic Wellness Family Medical Practice LLC located?
- Classic Wellness Family Medical Practice LLC's practice location on file with NPPES is 1220 Victor Ave, Union, NJ 07083-3706.
- What is Classic Wellness Family Medical Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Classic Wellness Family Medical Practice LLC is (718) 753-1721.
- Does Classic Wellness Family Medical Practice LLC accept Medicare?
- Classic Wellness Family Medical Practice LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Classic Wellness Family Medical Practice LLC?
- The authorized official listed on Classic Wellness Family Medical Practice LLC's NPPES record is Daniel Okoro, Doctor of Nursing Practice, Apn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Classic Wellness Family Medical Practice LLC's NPI active?
- Yes — Classic Wellness Family Medical Practice LLC's NPI (1376950279) is active in the NPPES registry as of the last update on 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.