Gleisy Calisel Escalante Caraballo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA12630300 Issued in NJ

Practice address

613 Park Ave
East Orange, NJ 07017-1905

Phone

(973) 672-8573

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gleisy Calisel Caraballo Segura Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Salerno Medical Associates, LLC

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1184766107

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Roseville Medical Society LLC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1275168320
  Medicare reassignment

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1295455772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 PARK AVENUE",
            "city": "CITY OF ORANGE",
            "state": "NJ",
            "postal_code": "070475901",
            "telephone_number": "973-672-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE CARABALLO",
        "first_name": "GLEISY",
        "middle_name": "CALISEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12630300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLEISY",
            "last_name": "CARABALLO SEGURA",
            "middle_name": "CALISEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eoh Acquisition Group, LLC
• Eoh Acquisition Group, LLC
• Eoh Acquisition Group, LLC
• Matthew Epstein, DMD
• Maria Christina Errazo, APN
• Natasha Escudero
• Antonious W. Eskandar, D.P.M
• Valerie Ann Espinal
• Amira Esseghir, DMD
• Essex Adult, Adolescent & Pediatric Medical, PC

• Internal Medicine Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.