Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mickenbergs Ambulatory Foot Care PA

Organization Podiatrist · NPI 1386822104

Mickenbergs Ambulatory Foot Care PA provides Podiatrist services in Pasadena, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8094 Edwin Raynor Blvd Ste C
Pasadena, MD 21122-6834 Not confirmed with CMS for 15 years — call before visiting
Phone: (410) 255-0040
Fax: (410) 360-4955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 01053 (MD)
Podiatrist Taxonomy 213E00000X · Licence 01053 (MD)

Record details

NPI number1386822104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Mickenberg — Owner · (410) 255-0040
NPI enumeratedFebruary 4, 2008
Last updated in NPPESApril 14, 2011
Mailing address8094 Edwin Raynor Blvd, Ste C, Pasadena, MD 21122-6834

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