Search › New Jersey › Gastroenterology Physician
Theodore Dacosta, MD
NPI 1558395673 · on the registry since 2006
Practice
- Address
- 85 S Jefferson Street
Orange, NJ 07050 - Phone
- (973) 674-8866
- Fax
- (973) 672-9299
- Organisation at this address
- Dacosta Medical Group Llc
Primary Medical Care Professional
New Jersey Podiatric Physicians & Surgeons Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Gastroenterology Physician
207RG0100X
- Also registered as
- Internal Medicine Physician
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey