Active NPI
Donald Kanoff, O.D.
- Optometrist
- Parsippany, NJ
National Provider Identifier
1023086253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA 02854
- Practice address
- 415 Parsippany Rd
Parsippany, NJ 07054-5192 - Phone
- (973) 386-0111
- Fax
- (973) 386-1984
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OA 02854 | NJ | Primary |
Addresses
Primary practice location
415 Parsippany Rd
Parsippany, NJ 07054-5192
Mailing address
415 Parsippany Rd
Parsippany, NJ 07054-5192
Phone (973) 386-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1594109 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA 02854 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1023086253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 PARSIPPANY RD",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070545192",
"telephone_number": "973-386-0111",
"fax_number": "973-386-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 PARSIPPANY RD",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070545192",
"telephone_number": "973-386-0111",
"fax_number": "973-386-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANOFF",
"first_name": "DONALD",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OA 02854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1594109",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.