Dr. Theodore A Dacosta Jr., MD
Internal Medicine, Gastroenterology in Orange, New Jersey
1558395673- Practice location
- 85 S Jefferson Street, Orange, NJ 07050
- Phone
- 973-674-8866
- Fax
- 973-672-9299
- Last updated
- September 11, 2025
Theodore A Dacosta is an Internal Medicine, Gastroenterology based in Orange, NJ. Theodore A Dacosta practices in Orange, NJ and has the professional credentials of MD. The NPI Number for Theodore A Dacosta is 1558395673 and holds a License No. 25MA05600200 (NJ). The current practice location address for Theodore A Dacosta 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
- 1558395673
- Provider Name
- Theodore A Dacosta
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 85 S Jefferson Street, Orange, NJ 07050
- Phone Number
- 973-674-8866
- Fax Number
- 973-672-9299
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 11, 2006
- Last Update Date
- September 11, 2025
- 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
- License Number (1)
- 25MA05600200
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 25MA05600200
- License State (2)
- NJ
- Taxonomy (2)
- 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 Dr. Theodore A Dacosta Jr., MD?
The NPI number of Dr. Theodore A Dacosta Jr., MD is 1558395673. It was assigned on July 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Theodore A Dacosta Jr., MD?
Dr. Theodore A Dacosta Jr., MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA05600200.
Where does Dr. Theodore A Dacosta Jr., MD 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 1558395673 directly on the NPPES registry website.