Dr Theodore A Dacosta Jr, MD | |
85 S Jefferson Street, Orange, NJ 07050 | |
(973) 674-8866 | |
(973) 672-9299 |
Full Name | Dr Theodore A Dacosta Jr |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 35 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558395673 | NPI | - | NPPES |
6881106 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA05600200 (New Jersey) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | 25MA05600200 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Michael's Medical Center | Newark, NJ | Hospital |
Entity Name | Empire Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760515860 PECOS PAC ID: 1355333469 Enrollment ID: O20040331000144 |
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 |
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 |
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 |