Individual
DR. JACK M KANOFF
Active
Individual
DR. JACK M KANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MB51473
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006475
MERCY
—
01
—
110132972
RR MEDICARE
NJ
01
—
23054
AETNA
NJ
05
—
2330105
—
NJ
01
—
290002755
RR MEDICARE
NJ
01
—
532646
IBC
NJ
01
—
J27185
HEALTHNET
NJ
01
—
P369523
DXFDRD
NJ
Enumeration date
08/02/2006
Last updated
11/20/2025
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