1. Home
  2. Directory
  3. New Jersey
  4. Orange
  5. Internal Medicine
  6. NPI Profile

DACOSTA MEDICAL GROUP LLC
NPI 1346461282
Internal Medicine - Gastroenterology in Orange, NJ

Active since May 01, 2007
85 S JEFFERSON STREET, ORANGE, NJ 07050(973) 674-8866(973) 672-9299 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dacosta Medical Group Llc NPPES

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

DACOSTA MEDICAL GROUP LLC (NPI 1346461282) is a healthcare organization registered as a gastroenterology in Orange, New Jersey and active in the NPI registry since May 2007. The organization lists Theodore Dacosta, Physician, as its authorized official.

NPPES Registry Identity

NPI1346461282
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDACOSTA MEDICAL GROUP LLC
Location Address85 S JEFFERSON STREETOrange, NJ 07050
Mailing Address85 S Jefferson StreetOrange, NJ 07050 · (973) 674-8866 · Fax (973) 672-9299
Phone(973) 674-8866
Fax(973) 672-9299
Organization SubpartNo
Authorized OfficialTheodore DacostaPhysician · (973) 674-8866
Enumeration DateMay 1, 2007
Last NPPES UpdateApril 23, 2010
✔ NPI 1346461282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
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.
85 S JEFFERSON STREET, Orange, NJ 07050
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified067722
Medicaid9078908NJ

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dacosta Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dacosta Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Theodore Dacosta, DO
Gastroenterology
NPI 1114420155
59 MAIN ST STE 1
West Orange, NJ 07052
(973) 674-8866
✔ PECOS0.3 mi
Theodore Dacosta, MD
Gastroenterology
NPI 1558395673
85 S JEFFERSON STREET
Orange, NJ 07050
(973) 674-8866
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dacosta Medical Group LLC's NPI number?

The NPI number for Dacosta Medical Group LLC is 1346461282. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Dacosta Medical Group LLC located?

Dacosta Medical Group LLC is located at 85 S Jefferson Street, Orange, NJ 07050. The listed phone number is (973) 674-8866.

What is Dacosta Medical Group LLC's specialty?

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

Is Dacosta Medical Group LLC enrolled in Medicare?

Yes. Dacosta Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dacosta Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Gastroenterology, reassign their Medicare billing to Dacosta Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dacosta Medical Group LLC was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.