Active NPIIndividual provider

Juan C Victoria

Speech-Language Pathologist, in Passaic, New Jersey

NPI Number1265329916
Practice location
63 Grove St, Passaic, NJ 07055-5001
Fax
—
Last updated
June 23, 2025

Juan Camilo Victoria is a Speech-Language Pathologist, based in Passaic, NJ. Juan Camilo Victoria practices in Passaic, NJ. The NPI Number for Juan Camilo Victoria is 1265329916 and holds a License No. 4675 (NJ). The current practice location address for Juan Camilo Victoria is 63 Grove St, Passaic, NJ 07055-5001 and can be reached out via phone at 908-884-6740.

Provider Profile Details

NPI Number
1265329916
Provider Name
Juan Camilo Victoria
Provider Entity Type
Individual
Gender
Male
Address
63 Grove St, Passaic, NJ 07055-5001
Phone Number
908-884-6740
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2025
Last Update Date
June 23, 2025
Certification Date
June 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Grove St
Passaic, NJ 07055-5001
Zip
07055-5001
Phone Number
908-884-6740
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
374 Boulevard
Kenilworth, NJ 07033-1530
City
Kenilworth
State
NJ
Zip
07033-1530
Phone Number
908-884-6740

License Information

License Number
4675
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Speech-Language Pathologist, providers near Passaic, NJ

View all Speech-Language Pathologist, providers in Passaic →

Frequently Asked Questions

What is the NPI number of Juan C Victoria?

The NPI number of Juan C Victoria is 1265329916. It was assigned on June 23, 2025 and is currently active in the NPPES registry.

What is the specialty of Juan C Victoria?

Juan C Victoria is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 4675.

Where does Juan C Victoria practice?

The practice location is 63 Grove St, Passaic, NJ 07055-5001. The office can be reached at 908-884-6740 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265329916 directly on the NPPES registry website.

Browse related providers