Theodore Dacosta, DO
Theodore Dacosta, DO is a Gastroenterology Physician in West Orange, NJ, registered under NPI 1114420155. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 59 MAIN ST STE 1, West Orange, NJ 07052. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MB12193600 | NJ | Gastroenterology Physician primary |
This provider holds licence 25MB12193600 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Gastroenterology
- PAC ID
- 0547708646
Medicare enrolment is recorded as approved under the provider type Practitioner - Gastroenterology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Gastroenterology covers
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. NUCC Health Care Provider Taxonomy, code 207RG0100X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RG0100X | Gastroenterology Physician Gastroenterology | 25MB12193600 | NJ | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NJ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1114420155 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 15, 2018 |
| Last updated | May 30, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | DO |
| Practice address |
59 MAIN ST STE 1 West Orange, NJ 07052 (973) 674-8866 |
| Mailing address |
26 MCCHESNEY CT West Orange, NJ 07052 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 4 | 2 | 0 | 1 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 8 | 2 | 0 | 1 | 1 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.