{"result_count":1,"results":[{"addresses":[{"address_1":"85 S JEFFERSON STREET","address_purpose":"MAILING","address_type":"DOM","city":"ORANGE","country_code":"US","country_name":"United States","fax_number":"973-672-9299","postal_code":"07050","state":"NJ","telephone_number":"973-674-8866"},{"address_1":"85 S JEFFERSON STREET","address_purpose":"LOCATION","address_type":"DOM","city":"ORANGE","country_code":"US","country_name":"United States","fax_number":"973-672-9299","postal_code":"07050","state":"NJ","telephone_number":"973-674-8866"}],"basic":{"credential":"MD","enumeration_date":"2006-07-11","first_name":"THEODORE","last_name":"DACOSTA","last_updated":"2025-09-11","middle_name":"A","name_prefix":"Dr.","name_suffix":"Jr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1152627143000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"6881106","issuer":null,"state":"NJ"}],"last_updated_epoch":"1757623214000","number":"1558395673","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"207R00000X","desc":"Internal Medicine","license":"25MA05600200","primary":false,"state":"NJ","taxonomy_group":""},{"code":"207RG0100X","desc":"Internal Medicine, Gastroenterology","license":"25MA05600200","primary":true,"state":"NJ","taxonomy_group":""}]}]}