Classic Medical Practice
Classic Medical Practice is a healthcare organization registered as Multi-Specialty Clinic/Center in Union, NJ, holding Type 2 (organization) NPI 1255165072 since 2024. The authorized official on file is Daniel Okoro, Chief Executive Office.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255165072 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Classic Medical Practice |
| Practice address | 540 NORTH AVE STE 3, Union, NJ, 07083 |
| Phone | 7187531721 |
| Enumeration date | 2024-08-26 |
| Last updated in NPPES | 2024-08-26 |
Authorized official
| Name | Daniel Okoro |
|---|---|
| Title | Chief Executive Office |
| Phone | 9082302750 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | Secondary | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Classic Medical Practice NPI: 1255165072 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 540 NORTH AVE STE 3, Union, NJ, 07083
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801427810 | Classic Wellness Family Mental Health Practice LLC | Organization | Psychiatric/Mental Health Nurse Practitioner | Union, NJ |
| 1851968515 | Lynda Uzonwanne | Individual | Psychiatric/Mental Health Nurse Practitioner | Union, NJ |
| 1366197303 | Glorious Dawn Mental Health Services LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Union, NJ |
Verify this record
Cross-check NPI 1255165072 against the authoritative CMS record: view Classic Medical Practice on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Classic Medical Practice?
Who is the authorized official for Classic Medical Practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-26.