Individual provider Active NPI

Victoria Ike, PA-C

  • Physician Assistant
  • Rahway, NJ
National Provider Identifier
1962913145
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11731 Issued in TX
Practice address
865 Stone St
Rahway, NJ 07065-2742
Phone
(732) 381-4200
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 021488 NY
Physician Assistant 363A00000X PA11731 TX Primary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 25MP00513900 NJ

Addresses

Primary practice location

865 Stone St
Rahway, NJ 07065-2742

Mailing address

234 E 149TH St
Bronx, NY 10451-5504
Phone (718) 579-5000

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5000

Other practice location 2

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA, FL, TX5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180227000271 NY Practitioner - Physician Assistant 6103187653 Reassigns benefits to 5 organizations
I20190701001121 NJ Practitioner - Physician Assistant 6103187653 Reassigns benefits to 7 organizations
I20230616000024 PA Practitioner - Physician Assistant 6103187653 Reassigns benefits to 2 organizations
I20241024002519 FL Practitioner - Physician Assistant 6103187653 Reassigns benefits to 1 organization
I20241212001812 TX Practitioner - Physician Assistant 6103187653 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

17910 Bulverde Rd
Suite 115
San Antonio, TX 78259-3762
Phone (210) 906-8478

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

Hospital & facility affiliations

  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021488NYMDSpecialist
25MP00513900NJMDPhysician Assistant
PA11731TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Treasure Coast Medical Associates Emergency Medicine CurrentSince Aug 16, 2024 Accepting new patients
Fast Track Urgent Care - Bastrop Physician Assistant CurrentSince Feb 24, 2026 Accepting new patients
Fast Track Urgent Care Emergency Medicine CurrentSince Feb 24, 2026 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

136 Drifting Wind Run
Ste 117
Dripping Springs, TX 78620
Phone (210) 906-8478

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

Interoperability endpoints

  • Direct secure messaging: vike45268@epicdirect.rwjbh.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1962913145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-381-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371802",
            "country_code": "US",
            "telephone_number": "212-939-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKE",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "021488",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11731",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00513900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.