Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher Dacosta, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124862099

Christopher Dacosta, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Central Ave
Newark, NJ 07102-1909
Phone: (973) 877-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124862099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address111 Central Ave, Newark, NJ 07102-1909

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