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THEODORE A. DACOSTA MD PA
NPI 1295978385
Internal Medicine - Gastroenterology in Livingston, NJ

Active since April 20, 2009
22 CHESTNUT ST, LIVINGSTON, NJ 07039(973) 422-0094(973) 422-9895 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore A. Dacosta Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE A. DACOSTA MD PA (NPI 1295978385) is a healthcare organization registered as a gastroenterology in Livingston, New Jersey and active in the NPI registry since April 2009. The organization lists Theodore Anthony Dacosta, President, as its authorized official.

NPPES Registry Identity

NPI1295978385
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTHEODORE A. DACOSTA MD PA
Location Address22 CHESTNUT STLivingston, NJ 07039-5502
Mailing Address22 Chestnut StLivingston, NJ 07039-5502 · (973) 422-0094 · Fax (973) 422-9895
Phone(973) 422-0094
Fax(973) 422-9895
Organization SubpartNo
Authorized OfficialTheodore Anthony DacostaPresident · (973) 422-0094
Enumeration DateApril 20, 2009
✔ NPI 1295978385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA56002
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
22 CHESTNUT ST, Livingston, NJ 07039
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore A. Dacosta MD PA's NPI number?

The NPI number for Theodore A. Dacosta MD PA is 1295978385. It was assigned to this organization in the NPPES registry on April 20, 2009.

Where is Theodore A. Dacosta MD PA located?

Theodore A. Dacosta MD PA is located at 22 Chestnut St, Livingston, NJ 07039. The listed phone number is (973) 422-0094.

What is Theodore A. Dacosta MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Theodore A. Dacosta MD PA was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.