Individual provider Active NPI

Marlyn Tablo Escalona

  • Primary Care Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1285213793
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01132500 Issued in NJ
Practice address
8 Lincoln St
Spring Valley, NY 10977-5822
Phone
(973) 931-9001
NPI assigned
Apr 3, 2021
Last updated
Apr 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01132500 NJ Primary

Addresses

Primary practice location

8 Lincoln St
Spring Valley, NY 10977-5822

Mailing address

8 Lincoln St
Spring Valley, NY 10977-5822
Phone (973) 931-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001001159 NJ Practitioner - Nurse Practitioner 7315345527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

130 Terhune Dr
Wayne, NJ 07470-7104
Phone (973) 839-4500

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges CurrentSince Jun 29, 2021 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Jan 15, 2026 Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
Pradip S. Shah, M.D. PastSince May 14, 2023 Accepting new patients

Locations

135 Bloomfield Ave
Ste B
Bloomfield, NJ 07003
Phone (973) 743-2248

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

2091 Millburn Ave
Maplewood, NJ 07040
Phone (973) 378-2266

202 Stuyvesant Ave
Ste A
Newark, NJ 07106
Phone (973) 374-8807

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

130 Terhune Dr
Wayne, NJ 07470
Phone (973) 616-5815

77 Main St
West Orange, NJ 07052
Phone (973) 324-2090

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

95 Main St
West Orange, NJ 07052
Phone (732) 319-7765

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1285213793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LINCOLN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775822",
            "telephone_number": "973-931-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LINCOLN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775822",
            "telephone_number": "973-931-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALONA",
        "first_name": "MARLYN",
        "middle_name": "TABLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01132500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.