Individual provider Active NPI

Alyson Escalona, OD

  • Optometrist
  • Passaic, NJ
National Provider Identifier
1962989632
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00682000 Issued in NJ
Practice address
177 Prospect St
Passaic, NJ 07055-5150
Phone
(973) 777-4343
NPI assigned
Jul 25, 2018
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00682000 NJ Primary

Addresses

Primary practice location

177 Prospect St
Passaic, NJ 07055-5150

Mailing address

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 374-8900

Other practice location 1

1 N Washington Ave
Bergenfield, NJ 07621-2125
Phone (201) 374-8900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002001577 NJ Practitioner - Optometry 9537411525 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Optometry LLCGroup PAC ID 2062790439, 5 clinicians

Practice addresses (Care Compare)

348 Main St
Hackensack, NJ 07601-5803
Phone (201) 342-4255

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Vision Care, P.a. Optometrist CurrentSince Aug 11, 2018 Accepting new patients
TML Vision Care, LLC Optometrist CurrentSince Aug 11, 2018 Accepting new patients
Bergen Optometry, LLC Optometrist CurrentSince Jul 14, 2025 Accepting new patients
Bergen Optometry Group, PA Optometrist PastSince Jul 14, 2025 Accepting new patients

Locations

154 State Route 10
Unit 4B
East Hanover, NJ 07936
Phone (973) 887-0216

348 Main St
Hackensack, NJ 07601
Phone (201) 342-2767

92 State Rt 23
Ste E
Riverdale, NJ 07457
Phone (973) 248-0060

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1962989632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-374-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PROSPECT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555150",
            "telephone_number": "973-777-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "076212125",
            "country_code": "US",
            "telephone_number": "201-374-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCALONA",
        "first_name": "ALYSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00682000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.