Healthcare Provider Details

I. General information

NPI: 1780503029
Provider Name (Legal Business Name): JAY S. JENOFF, M.D. L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DR
VOORHEES NJ
08043-9612
US

IV. Provider business mailing address

345 KINGSPARK CT
MARLTON NJ
08053-2018
US

V. Phone/Fax

Practice location:
  • Phone: 856-247-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JAY STUART JENOFF
Title or Position: PRESIDENT
Credential:
Phone: 215-459-3134