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JUAN CAMILO VICTORIA
NPI 1265329916
Speech-Language Pathologist in Passaic, NJ

Active since June 23, 2025Accepts Medicare Assignment
63 GROVE ST, PASSAIC, NJ 07055(908) 884-6740 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Camilo Victoria NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN CAMILO VICTORIA (NPI 1265329916) is an individual speech-language pathologist provider in Passaic, New Jersey, licensed in New Jersey (4675) and active in the NPI registry since June 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1265329916
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJUAN CAMILO VICTORIA
Location Address63 GROVE STPassaic, NJ 07055-5001
Mailing Address374 BoulevardKenilworth, NJ 07033-1530 · (908) 884-6740
Phone(908) 884-6740
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1265329916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NJ · 4675
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
63 GROVE ST, Passaic, NJ 07055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Camilo Victoria is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123502275
PECOS Enrollment IDI20260317004066

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

2ND HOME PASSAIC OPERATIONS, LLC
Clinic/Center (Adult Day Care)
63 GROVE ST
PASSAIC, NJ 07055
Passaic County (973) 395-0555
2ND HOME PASSAIC LLC
Nursing Facility/Intermediate Care Facility
63 GROVE ST
PASSAIC, NJ 07055
Passaic County (973) 278-7065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Victoria's NPI number?

The NPI number for Juan Victoria is 1265329916. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Juan Victoria located?

Juan Victoria practices at 63 Grove St, Passaic, NJ 07055. The listed phone number is (908) 884-6740.

What is Juan Victoria's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Juan Victoria enrolled in Medicare?

Yes. Juan Victoria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Juan Victoria was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.