Dacosta Medical Group LLC
Internal Medicine, Gastroenterology in Orange, New Jersey
1346461282- Practice location
- 85 S Jefferson Street, Orange, NJ 07050
- Phone
- 973-674-8866
- Fax
- 973-672-9299
- Last updated
- April 23, 2010
Dacosta Medical Group LLC is a healthcare organization based in Orange, NJ. Dacosta Medical Group LLC practices in Orange, NJ. The NPI Number for Dacosta Medical Group LLC is 1346461282. The current practice location address for Dacosta Medical Group LLC is 85 S Jefferson Street, Orange, NJ 07050 and can be reached out via phone at 973-674-8866 and via fax at 973-672-9299.
Provider Profile Details
- NPI Number
- 1346461282
- Provider Name
- Dacosta Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 85 S Jefferson Street, Orange, NJ 07050
- Phone Number
- 973-674-8866
- Fax Number
- 973-672-9299
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Theodore Dacosta, MD · Physician · 973-674-8866
- Provider Enumeration Date
- May 1, 2007
- Last Update Date
- April 23, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 S Jefferson Street
Orange, NJ 07050 - City
- Orange
- State
- New Jersey
- Zip
- 07050
- Phone Number
- 973-674-8866
- Fax Number
- 973-672-9299
Provider Business Mailing Address Details
- Address
- 85 S Jefferson Street
Orange, NJ 07050 - City
- Orange
- State
- NJ
- Zip
- 07050
- Phone Number
- 973-674-8866
- Fax Number
- 973-672-9299
License Information
- 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. | |||
Other Internal Medicine, Gastroenterology providers near Orange, NJ
View all Internal Medicine, Gastroenterology providers in Orange →- Dr. Theodore A Dacosta Jr., MDInternal Medicine, Gastroenterology · NPI 1558395673
- Primary Medical Care ProfessionalInternal Medicine, Gastroenterology · NPI 1588687479
- Mr. Georges H Mombrun, LCSW, LCADCSocial Worker, Clinical · NPI 1285368746
- Bloom Support ServicesCommunity/Behavioral Health · NPI 1164328498
- Brianna Dawkins, LCSWSocial Worker, Clinical · NPI 1891466991
- Jenyfer CuzcoStudent in an Organized Health Care Education/Training Program · NPI 1053224352
Frequently Asked Questions
What is the NPI number of Dacosta Medical Group LLC?
The NPI number of Dacosta Medical Group LLC is 1346461282. It was assigned on May 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Dacosta Medical Group LLC?
Dacosta Medical Group LLC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X).
Where does Dacosta Medical Group LLC practice?
The practice location is 85 S Jefferson Street, Orange, NJ 07050. The office can be reached at 973-674-8866 (phone) or 973-672-9299 (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 1346461282 directly on the NPPES registry website.