Theodore A. Dacosta MD PA
Internal Medicine, Gastroenterology in Livingston, New Jersey
1295978385- Practice location
- 22 Chestnut St, Livingston, NJ 07039-5502
- Phone
- 973-422-0094
- Fax
- 973-422-9895
- Last updated
- April 20, 2009
Theodore A. Dacosta MD PA is a healthcare organization based in Livingston, NJ. Theodore A. Dacosta MD PA practices in Livingston, NJ. The NPI Number for Theodore A. Dacosta MD PA is 1295978385 and holds a License No. ma56002 (NJ). The current practice location address for Theodore A. Dacosta MD PA is 22 Chestnut St, Livingston, NJ 07039-5502 and can be reached out via phone at 973-422-0094 and via fax at 973-422-9895.
Provider Profile Details
- NPI Number
- 1295978385
- Provider Name
- Theodore A. Dacosta MD PA
- Provider Entity Type
- Organization
- Address
- 22 Chestnut St, Livingston, NJ 07039-5502
- Phone Number
- 973-422-0094
- Fax Number
- 973-422-9895
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Theodore Anthony Dacosta, MD · President · 973-422-0094
- Provider Enumeration Date
- April 20, 2009
- Last Update Date
- April 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Chestnut St
Livingston, NJ 07039-5502 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-5502
- Phone Number
- 973-422-0094
- Fax Number
- 973-422-9895
Provider Business Mailing Address Details
- Address
- 22 Chestnut St
Livingston, NJ 07039-5502 - City
- Livingston
- State
- NJ
- Zip
- 07039-5502
- Phone Number
- 973-422-0094
- Fax Number
- 973-422-9895
License Information
- License Number
- ma56002
- License State
- NJ
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Theodore A. Dacosta MD PA?
The NPI number of Theodore A. Dacosta MD PA is 1295978385. It was assigned on April 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Theodore A. Dacosta MD PA?
Theodore A. Dacosta MD PA is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number ma56002.
Where does Theodore A. Dacosta MD PA practice?
The practice location is 22 Chestnut St, Livingston, NJ 07039-5502. The office can be reached at 973-422-0094 (phone) or 973-422-9895 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295978385 directly on the NPPES registry website.