Individual ProviderVictor SonaikeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address755 Memorial Pkwy, Unit 300, Phillipsburg, NJ 08865-2748(908) 454-6303PECOS EnrollmentBased on the most recent information from CMS, provider Victor Sonaike is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1174813646Provider TypeIndividualFull NameSonaike, VictorCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/18/2011Last Updated9/13/2019Contact InformationPractice LocationPractice Address755 Memorial Pkwy, Unit 300, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Mailing LocationMailing Address755 Memorial Pkwy, Unit 300, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense23343MississippiCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD449339PennsylvaniaProvider IdentifiersIDDescriptionIssuerID04550047DescriptionMedicaidIssuerUnlistedMississippi