DR. GLEISY CALISEL ESCALANTE CARABALLO MD
NPI 1295455772
Internal Medicine in East Orange, NJ

Active since September 02, 2022PECOS EnrolledAccepts Medicare Assignment
613 PARK AVE, EAST ORANGE, NJ 07017(973) 672-8573 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Sep 2, 2022 (2 updates tracked since 2022).

About Dr. Gleisy Calisel Escalante Caraballo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEISY CALISEL ESCALANTE CARABALLO MD (NPI 1295455772) is an individual internal medicine provider in East Orange, New Jersey, licensed in New Jersey (25MA12630300) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295455772
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GLEISY CALISEL ESCALANTE CARABALLOCredential: MD
Location Address613 PARK AVEEast Orange, NJ 07017-1905
Mailing Address523 Park AvenueCity Of Orange, NJ 07047-5901 · (973) 672-8573
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 2, 2022
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1295455772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA12630300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
613 PARK AVE, East Orange, NJ 07017

Other Names 1

Former Name (1)Dr. Gleisy Calisel Caraballo Segura Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gleisy Calisel Escalante Caraballo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133606924
PECOS Enrollment IDI20260122003847
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
613 PARK AVE
EAST ORANGE, NJ 07017
Nurse Practitioner (Gerontology)
613 PARK AVE
EAST ORANGE, NJ 07017
Nurse Practitioner (Adult Health)
613 PARK AVE
EAST ORANGE, NJ 07017
Nurse Practitioner (Adult Health)
613 PARK AVE
EAST ORANGE, NJ 07017
Internal Medicine (Pulmonary Disease)
613 PARK AVE
EAST ORANGE, NJ 07017
Nurse Practitioner (Adult Health)
613 PARK AVE
EAST ORANGE, NJ 07017
Nurse Practitioner (Family)
613 PARK AVE
EAST ORANGE, NJ 07017
Nurse Practitioner (Gerontology)
613 PARK AVE, 2ND FLOOR
EAST ORANGE, NJ 07017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gleisy Escalante Caraballo's NPI number?

The NPI number for Gleisy Escalante Caraballo is 1295455772. It was assigned to this individual provider in the NPPES registry on September 2, 2022. The provider is also known as Dr. Gleisy Calisel Caraballo Segura MD.

Where is Gleisy Escalante Caraballo located?

Gleisy Escalante Caraballo practices at 613 Park Ave, East Orange, NJ 07017. The listed phone number is (973) 672-8573.

What is Gleisy Escalante Caraballo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gleisy Escalante Caraballo enrolled in Medicare?

Yes. Gleisy Escalante Caraballo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gleisy Escalante Caraballo was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.