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Dacosta Medical Group LLC

Gastroenterology Physician in Orange, NJ · enumerated 2007 · authorized official Theodore Dacosta, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346461282

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Registry record

Entity type Organization (Type 2)
Legal business name Dacosta Medical Group LLC
Practice address 85 S Jefferson Street, Orange, NJ, 07050
Phone (973) 674-8866
Fax (973) 672-9299
Enumeration date May 1, 2007
Last updated in NPPES Apr 23, 2010

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Theodore Dacosta
Title Physician
Phone (973) 674-8866

Other identifiers

Identifier Type State Issuer
9078908 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Dacosta Medical Group LLC?
The NPI for Dacosta Medical Group LLC is 1346461282, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dacosta Medical Group LLC?
NPPES lists Theodore Dacosta (Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-23.