IndividualActive
Melrose Blake-Bethea, DPM
NPI 1386674273 · Primary Podiatric Medicine Podiatrist · Irvington, NJ
Provider details
- NPI number
- 1386674273
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MD00228700 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
774 Chancellor Ave
Irvington, NJ 07111-2955
Phone: (973) 375-5882
Fax: (973) 371-7990
Approximate (ZIP-level) locationGet directions
Mailing address
774 Chancellor Ave
Irvington, NJ 07111-2955
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.