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

Dr. Theodore A Dacosta Jr., MD

Individual provider Internal Medicine Physician · NPI 1558395673

Dr. Theodore A Dacosta Jr., MD is a Gastroenterology in Orange, New Jersey. Graduated from Rutgers New Jersey Medical School in 1989, 37 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
37
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

85 S Jefferson St
Orange, NJ 07050
Phone: (973) 674-8866
Fax: (973) 672-9299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MA05600200 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA05600200 (NJ)

Record details

NPI number1558395673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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