Dr Theodore A Dacosta Jr, MD in Orange, NJ

Dr Theodore A Dacosta Jr, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Orange, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1989 and has 36 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Dacosta Medical Group Llc and his current practice location is 85 S Jefferson Street, Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 674-8866.

Dr Theodore A Dacosta Jr is licensed to practice in New Jersey (license number 25MA05600200) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558395673.

Contact Information

	Dr Theodore A Dacosta Jr, MD
	85 S Jefferson Street, Orange, NJ 07050
	(973) 674-8866
	(973) 672-9299

Map and Direction

Physician's Profile

Full Name	Dr Theodore A Dacosta Jr
Gender	Male
Speciality	Gastroenterology
Experience	36 Years
Location	85 S Jefferson Street, Orange, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Theodore A Dacosta Jr attended and graduated from Rutgers New Jersey Medical School in 1989

NPI Data:

NPI Number: 1558395673
Provider Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9931144821
Enrollment ID: I20050622000030

Medical Identifiers

Medical identifiers for Dr Theodore A Dacosta Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558395673	NPI	-	NPPES
6881106	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA05600200 (New Jersey)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	25MA05600200 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Michael's Medical Center	Newark, NJ	Hospital
Clara Maass Medical Center	Belleville, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dacosta Medical Group Llc	0244367753	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Theodore A Dacosta Jr allows following entities to bill medicare on his behalf.

Entity Name	Dacosta Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346461282 PECOS PAC ID: 0244367753 Enrollment ID: O20100414000707

Entity Name	Central Avenue Professional Services, Pc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1447649694 PECOS PAC ID: 7214258003 Enrollment ID: O20150604002544

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore A Dacosta Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Theodore A Dacosta Jr, MD 85 S Jefferson Street, Orange, NJ 07050 Ph: (973) 674-8866	Dr Theodore A Dacosta Jr, MD 85 S Jefferson Street, Orange, NJ 07050 Ph: (973) 674-8866

Reviews and Comments

Internal Medicine Doctors in Orange, NJ

Dr. Jayant Barai, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 345 Henry St, Orange, NJ 07050 Phone: 973-678-5700 Fax: 973-414-0963
Mr. Ratan Mirchandani, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 304 Central Avenue, Orange, NJ 07050 Phone: 973-673-3300 Fax: 973-673-5735
Jashvant S Amin, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 355 Henry Street, Orange, NJ 07050 Phone: 973-672-0352 Fax: 973-672-3393
Dr. Alpesh Jashvant Amin, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 355 Henry St, Orange, NJ 07050 Phone: 973-672-0352 Fax: 973-672-3393

Dr Theodore A Dacosta Jr, MD - Medicare Gastroenterology in Orange, NJ