Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jay Marc Mickenberg, DPM

Podiatrist in Pasadena, MD · enumerated 2005 · practices at Mickenbergs Ambulatory Foot Care PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336149962

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Registry record

Entity type Individual (Type 1)

Name Dr. Jay Marc Mickenberg

Credential DPM

Sex Male

Practice address Pasadena, MD, 21122

Phone (410) 255-0040

Fax (410) 360-4955

Enumeration date Jul 26, 2005

Last updated in NPPES Feb 21, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 1053 (MD) Primary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

Other identifiers

Identifier	Type	State	Issuer
T276	Other	MD	BC/BS OF MD
062308301	Medicaid	MD	-
521617469	Other	-	UNITED HEALTHCARE
B765 001	Other	-	BC/BS FEDERAL
1338463	Other	-	CIGNA PPO/HMO
521617469	Other	-	EMPLOYER HEALTH INSURANCE
521617469	Other	-	COVENTRY
521617469	Other	-	FIRST HEALTH
521617469	Other	-	MAMSI
521617469	Other	-	TRICARE
217484	Other	-	ALLIANCE
521617469	Other	-	EHP
B765	Other	MD	BLUE CHOICE
217484	Other	-	MDIPA/OPTIMUM CHOICE
480012800	Other	-	RAILROAD MEDICARE
521617469	Other	-	CIGNA HEALTHCARE OPEN ACC
521617469	Other	-	FIDELITY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jay Mickenberg?

Jay Mickenberg is registered in NPPES with the primary taxonomy of Podiatrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Mickenbergs Ambulatory Foot Care PA Durable Medical Equipment & Medical Supplies · Pasadena, MD NPI 1386822104

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-21.