Individual provider Active NPI

Martin Earle Kanoff, DO

  • Obstetrics & Gynecology Physician
  • Lakewood, NJ
National Provider Identifier
1285664854
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB04130200 Issued in NJ
Practice address
1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894
Phone
(732) 994-4242
Fax
(732) 363-5164
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB04130200 NJ Primary

Addresses

Primary practice location

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894

Mailing address

PO Box 8210
Turnersville, NJ 08012-8210
Phone (856) 232-0050

Other practice location 1

100 Kings Way E
Ste D4
Sewell, NJ 08080-2237
Phone (856) 232-0050

Other practice location 2

456 Chestnut St Unit 303
Lakewood, NJ 08701-6124
Phone (732) 994-4242

Other identifiers 1

IdentifierTypeStateIssuer
2330202MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000788 NJ Practitioner - Obstetrics/Gynecology 3375600943 Reassigns benefits to 2 organizations
Practice locations: Sewell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 22, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 22, 2025 Accepting new patients
Tru OBGYN & Birth Center LLC Obstetrics & Gynecology CurrentSince Jul 15, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1382 Lanes Mill Rd
Ste 201
Lakewood, NJ 08701
Phone (732) 994-4242

456 Chestnut St
Unit 303
Lakewood, NJ 08701
Phone (732) 994-4242

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

  • Direct secure messaging: martin.kanoff.1@10520.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10520/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1285664854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8210",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080128210",
            "telephone_number": "856-232-0050",
            "fax_number": "856-232-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013894",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kings Way E",
            "address_2": "Ste D4",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802237",
            "country_code": "US",
            "telephone_number": "856-232-0050",
            "fax_number": "856-232-0251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 Chestnut St Unit 303",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087016124",
            "country_code": "US",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANOFF",
        "first_name": "MARTIN",
        "middle_name": "EARLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB04130200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.