DR. THEODORE A DACOSTA SR. (NPI# 1699708586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699708586 |
| Entity Type | Individual |
| Full Name | DR. THEODORE A DACOSTA SR. |
| Credential | MD |
| Practice Address |
85 S Jefferson Street Orange NJ 07050 |
| Practice Telephone | 9736748866 |
| Practice Fax Number | 9736779299 |
| Mailing Telephone | 9736748866 |
| Mailing Fax Number | 9736779299 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 25MA01870800 | NJ | Allopathic & Osteopathic Physicians |
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA01870800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0526703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420155 | Theodore R Dacosta | Student in an Organized Health Care Education/Training Program | 26 Mcchesney Ct, West Orange, NJ 07052-1135 | 2018-03-15 |
| 1558395673 | Theodore A Dacosta Jr. | Internal Medicine | 85 S Jefferson Street, Orange, NJ 07050 | 2006-07-11 |
| Street Address |
85 S JEFFERSON STREET |
| City | ORANGE |
| State | NJ |
| Zip Code | 07050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346461282 | Dacosta Medical Group LLC | Internal Medicine | 85 S Jefferson Street, Orange, NJ 07050 | 2007-05-01 |
| 1558395673 | Theodore A Dacosta Jr. | Internal Medicine | 85 S Jefferson Street, Orange, NJ 07050 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574516 | Idrissa Cisse | Non-emergency Medical Transport (VAN) | 493 Valley Street, Apt 8, Orange, NJ 07050 | 2019-05-21 |
| 1487218277 | Pioneer Homecare of Nj, Inc. | Home Health | 14 South Center Street, Orange, NJ 07050 | 2019-04-26 |
| 1518521392 | Pioneer Hospice of Nj, Inc. | Hospice Care, Community Based | 14 South Center Street Unit 102, Orange, NJ 07050 | 2019-04-26 |
| 1326507500 | Jenny G Joseph | Licensed Practical Nurse | 787 Vose Ave, Apt A15, Orange, NJ 07050 | 2019-03-18 |
| 1790263309 | Bhuvaneswari Potti | Pharmacist | E & M Pharmacy, 205 S Essex Ave, Orange, NJ 07050 | 2018-08-06 |
| 1013397975 | The Arc of Essex County, Inc. | Respite Care | 46-56 Oakwood Avenue, Orange, NJ 07050 | 2015-06-05 |
| 1942688106 | Jennifer A Unger | Counselor | 395 South Center Street, Orange, NJ 07050 | 2015-05-08 |
| 1649692393 | Patricia Roc | Licensed Practical Nurse | 400 Highland Terrace, 5c, Orange, NJ 07050 | 2014-01-15 |
| 1942585443 | Najmusseher Khan | Pharmacist | 240-250 Central Ave, Orange, NJ 07050 | 2011-10-15 |
| 1558536607 | Alphonse Ronald Flora | Internal Medicine | 479 Fairview Ave, Orange, NJ 07050 | 2008-04-29 |
| Find all providers in zip 07050 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131011 | H&c Business Solution Inc Inc | Internal Medicine | 8146 E Hillsdale Dr, Orange, CA 92869-2442 | 2019-12-18 |
| 1245880574 | Seniors First Medical Clinics Inc. | Internal Medicine | 1042 E Chapman Ave, Orange, CA 92866-2111 | 2019-09-18 |
| 1649667213 | Anish Patel | Internal Medicine | 101 The City Drive, City Tower, 4th Floor, Orange, CA 92868 | 2015-04-22 |
| 1194119008 | Lucas Akihiko Puttock | Internal Medicine | 101 The City Dr S Ste 1001, Orange, CA 92868-3201 | 2015-03-28 |
| 1790126902 | Israel Ranel | Internal Medicine | 1778 N. Warbler Pl., Orange, CA 92867 | 2013-07-16 |
| 1134563976 | Man C Duong Md A Professional Corporation | Internal Medicine | 101 W Riverdale Ave, Unit 23, Orange, CA 92865-1024 | 2013-04-23 |
| 1568711356 | Paul K. Lam | Internal Medicine | 2434 E Valley Glen Lane, Orange, CA 92867-1716 | 2012-09-07 |
| 1609168517 | Michael Rochon-duck | Internal Medicine | 101 The City Dr S Ste 400, Orange, CA 92868-3201 | 2011-05-10 |
| 1497047757 | Eui San Cha | Internal Medicine | 2501 E Chapman Ave Ste 300, Orange, CA 92869 | 2011-05-05 |
| 1487944187 | Stephanie C Reznick | Internal Medicine | 3960 West Ash Lane, Orange, OH 44122 | 2011-04-14 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.