Provider Demographics
NPI:1033607080
Name:MELTEM ATES, DPM LLC
Entity Type:Organization
Organization Name:MELTEM ATES, DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:DR
Authorized Official - First Name:MELTEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ATES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:646-314-0099
Mailing Address - Street 1:2148 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1483
Mailing Address - Country:US
Mailing Address - Phone:646-314-0099
Mailing Address - Fax:
Practice Address - Street 1:2148 OCEAN AVE STE 601
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1483
Practice Address - Country:US
Practice Address - Phone:646-314-0099
Practice Address - Fax:718-444-7412
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MELTEM ATES, DPM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-25
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006922-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05339726Medicaid