DACOSTA MEDICAL GROUP LLC – NPI #1346461282
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

DACOSTA MEDICAL GROUP LLC is a provider located in CITY OF ORANGE, NJ. NPPES has assigned the NPI number 1346461282 to DACOSTA MEDICAL GROUP LLC on May 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 16 years ago on Apr 23, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DACOSTA MEDICAL GROUP LLC below.

NPI Profile for
DACOSTA MEDICAL GROUP LLC

NPI Number
1346461282
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DACOSTA MEDICAL GROUP LLC
Primary location
85 S JEFFERSON STREET
CITY OF ORANGE, NJ 07050
Phone: (973) 674-8866 Fax: (973) 672-9299
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THEODORE DACOSTA
PHYSICIAN
Phone: (973) 674-8866
Updated
Identifiers

Identifiers for DACOSTA MEDICAL GROUP LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ9078908
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.