1. Home
  2. Directory
  3. New Jersey
  4. Irvington
  5. Podiatrist
  6. NPI Profile

MELROSE BLAKE-BETHEA DPM
NPI 1386674273
Podiatrist - Primary Podiatric Medicine in Irvington, NJ

Active since July 04, 2006
774 CHANCELLOR AVE, IRVINGTON, NJ 07111(973) 375-5882(973) 371-7990 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melrose Blake-bethea Dpm NPPES

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

MELROSE BLAKE-BETHEA DPM (NPI 1386674273) is an individual primary podiatric medicine provider in Irvington, New Jersey, licensed in New Jersey (25MD00228700) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1386674273
Entity TypeIndividualFemale
Primary Taxonomy213EP1101X
Provider Legal NameMELROSE BLAKE-BETHEACredential: DPM
Location Address774 CHANCELLOR AVEIrvington, NJ 07111-2955
Mailing Address774 Chancellor AveIrvington, NJ 07111-2955 · (973) 375-5882 · Fax (973) 371-7990
Phone(973) 375-5882
Fax(973) 371-7990
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386674273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NJ · 25MD00228700
774 CHANCELLOR AVE, Irvington, NJ 07111
Open in Google Maps ↗

Other Identifiers 2

OtherDO7146200NJ · Cds Podiatry
Other25MD00228700NJ · Podiatry License

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 Melrose Blake-bethea's NPI number?

The NPI number for Melrose Blake-bethea is 1386674273. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Melrose Blake-bethea located?

Melrose Blake-bethea practices at 774 Chancellor Ave, Irvington, NJ 07111. The listed phone number is (973) 375-5882.

What is Melrose Blake-bethea's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Melrose Blake-bethea was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.