Individual provider Active NPI

Dathan Louis Enoch, CRNA

  • Certified Registered Nurse Anesthetist
  • Neptune, NJ
National Provider Identifier
1255366365
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ14853900 Issued in NJ
Practice address
1945 State Route 33
Neptune, NJ 07753-4859
Phone
(732) 776-4945
Fax
(732) 776-4550
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN518186L PA
Certified Registered Nurse Anesthetist 367500000X 26NJ14853900 NJ Primary

Addresses

Primary practice location

1945 State Route 33
Neptune, NJ 07753-4859

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 988-6260

Other practice location 2

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3326

Other practice location 3

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 988-6260

Other practice location 4

1 Cooper Plz Dept Of
Camden, NJ 08103-1461
Phone (856) 342-2425

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address denoch253060@directvirtua.org
Direct Messaging Address denoch253060@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040831000519 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496720716 Reassigns benefits to 6 organizations
I20080905000212 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496720716 Reassigns benefits to 4 organizations
I20250807002670 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496720716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 988-3444

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-4700

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000

19 Davis Ave
Neptune, NJ 07753-4488

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

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408

701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ14853900NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Mar 15, 2022 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 12, 2024 Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 8, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 22, 2025 Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Einstein Practice Plan Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Aug 22, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 1, 2025 Accepting new patients
Cooper Anesthesia Associates, PC CurrentSince Apr 30, 2024 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 12, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 4, 2019 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2017 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Sep 1, 2012 Accepting new patients
Jersey Shore Anesthesiology Associates PA CurrentSince May 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 4, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 8, 2025 Accepting new patients
Cep America - Anesthesia PC Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Huntingdon Valley Anesthesia Associates Past Accepting new patients
James F Noone MD PC Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Anesthesia Associates of York PA Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations (25 of 29)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

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

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

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

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

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000

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

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

1650 Huntingdon Pike
Ste 313
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

1403 Rhawn St
Philadelphia, PA 19111
Phone (215) 332-8100

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: denoch253060@directvirtua.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1255366365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4945",
            "fax_number": "732-776-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bowman Dr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-988-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-3326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-988-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cooper Plz Dept Of",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-342-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "DATHAN",
        "middle_name": "LOUIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN518186L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ14853900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denoch253060@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "denoch253060@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.