Individual provider Active NPI

Jack M Kanoff, DO

  • Pulmonary Disease Physician
  • Hammonton, NJ
National Provider Identifier
1902813843
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MB51473 Issued in NJ
Practice address
107 Vine St
Hammonton, NJ 08037-1447
Phone
(609) 561-7666
Fax
(609) 567-8347
NPI assigned
Aug 2, 2006
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MB51473 NJ Primary

Addresses

Primary practice location

107 Vine St
Hammonton, NJ 08037-1447

Mailing address

134 Bridgeton Pike
Mullica Hill, NJ 08062-2616
Phone (856) 507-2783

Other practice location 1

525 State St Ste 7
Elmer, NJ 08318-2164
Phone (609) 561-7666

Other identifiers 8

IdentifierTypeStateIssuer
23054OtherNJAETNA
110132972OtherNJRR MEDICARE
2330105MedicaidNJ
532646OtherNJIBC
1006475OtherMERCY
290002755OtherNJRR MEDICARE
J27185OtherNJHEALTHNET
P369523OtherNJDXFDRD

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
I20090819000024 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3678626066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Jersey Chest Diseases,PAGroup PAC ID 8426101924, 3 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

107 Vine St
Hammonton, NJ 08037-1447
Phone (609) 561-7666

525 State St
Suite 6
Elmer, NJ 08318-2164
Phone (856) 363-1522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.14 of 100Reported as individual
Quality
18.89
Improvement activities
0
Cost
75.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB51473NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Pulmonary Disease CurrentSince Jan 16, 2019 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Dec 1, 2025 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

525 State St
Ste 6
Elmer, NJ 08318
Phone (856) 279-2842

525 State St
Ste 7
Elmer, NJ 08318
Phone (609) 561-7666

107 Vine St
Hammonton, NJ 08037
Phone (609) 561-7666

134 Bridgeton Pike
Mullica Hill, NJ 08062
Phone (856) 223-1385

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

Interoperability endpoints

  • Direct secure messaging: jack.kanoff@southjerseychestdiseases.chartmakerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1902813843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622616",
            "telephone_number": "856-507-2783",
            "fax_number": "856-221-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 VINE ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371447",
            "telephone_number": "609-561-7666",
            "fax_number": "609-567-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 State St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Elmer",
            "state": "NJ",
            "postal_code": "083182164",
            "country_code": "US",
            "telephone_number": "609-561-7666",
            "fax_number": "609-567-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANOFF",
        "first_name": "JACK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MB51473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "23054",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110132972",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330105",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "532646",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "1006475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "290002755",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J27185",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DXFDRD",
            "identifier": "P369523",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.