VICTORIA LECORIAN JOHNSON M.D. NPI 1083094791

NPI Information

  • NPI: 1083094791
  • Provider Name: VICTORIA LECORIAN JOHNSON, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 804 FAIRVIEW LN APT 2
    FORT LEE, NJ
    ZIP 07024
  • Phone: (478) 719-7682

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NPI Details

Victoria Lecorian Johnson, M.D. is a child and adolescent psychiatry psychiatry neurology in Fort Lee, NJ. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Victoria Lecorian Johnson, M.D. NPI is 1083094791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

804 FAIRVIEW LN APT 2
FORT LEE, NJ
ZIP 07024-568
Phone: (478) 719-7682
Fax: (551) 236-2513

The NPI 1083094791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 3/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryA184505CALIFORNIANo
22084P0800XPsychiatry & NeurologyPsychiatry303597NEW YORKNo
32084P0800XPsychiatry & NeurologyPsychiatryEMC0002347MICHIGANNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD223582OREGONNo
52084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry303597NEW YORKNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA184505CALIFORNIANo
72084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryEMC0002347MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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