You can simply do this:
user.js
class User {
//...
}
module.exports = User // 👈 Export class
server.js
const User = require('./user.js')
let user = new User()
This is called CommonJS module.
ES Modules
Since Node.js version 14 it’s possible to use ES Modules with CommonJS. Read more about it in the ESM documentation.
user.mjs (👈 extension is important)
export default class User {}
server.mjs
import User from './user.mjs'
let user = new User()