Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juan Camilo Victoria

Individual provider Speech-Language Pathologist · NPI 1265329916

Juan Camilo Victoria is a Qualified Speech Language Pathologist in Passaic, New Jersey. Qualified in 2024, 2 years ago. Practices with Momentum Therapy Services, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025

Practice location Address checks out

63 Grove St
Passaic, NJ 07055-5001
Phone: (908) 884-6740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4675 (NJ)

Record details

NPI number1265329916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Momentum Therapy Services — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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