DATHAN LOUIS ENOCH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255366365
Certified Registered Nurse Anesthetist
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NPPES metrics only — not quality of care.
1,122 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ
Provider Addresses for DATHAN LOUIS ENOCH (CRNA)
1 Cooper Plz Dept Of
Camden, NJ 081031461
Phone: (856) 342-2425
Type: Location
3401 N Broad St
Philadelphia, PA 191405103
Phone: (215) 707-3326
Type: Location
100 Bowman Dr
Voorhees, NJ 080439612
Phone: (856) 988-6260
Type: Location
90 Brick Rd
Marlton, NJ 080532177
Phone: (856) 988-6260
Type: Location
1 FEDERAL ST STE 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Fax: (732) 790-0107
Type: Mailing
1945 STATE ROUTE 33
NEPTUNE, NJ 077534859
Phone: (732) 776-4945
Fax: (732) 776-4550
Type: Location
2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States
PHILADELPHIA, PA 191291302
Phone: (215) 707-3326
Fax: (215) 707-8028
Type: Mailing
Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States
PHILADELPHIA, PA 191405103
Phone: (215) 707-3326
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-05-12 • Largest payer in this snapshot: NESTLE HEALTHCARE NUTRITION INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NESTLE HEALTHCARE NUTRITION INC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040831000519 | I | Certified Registered Nurse Anesthetist (Crna) | PA | TBD |
| I20080905000212 | I | Certified Registered Nurse Anesthetist (Crna) | NJ | TBD |
| I20250807002670 | I | Certified Registered Nurse Anesthetist (Crna) | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 44 | 44 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 21 | 21 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 08103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NJ | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Vascular Surgery | NY | |
| Physician Assistant | NJ | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NJ | |
| General Surgery | NJ |
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