Mickenbergs Ambulatory Foot Care PA
NPI 1386822104 · Durable Medical Equipment & Medical Supplies · Pasadena, MD
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mickenbergs Ambulatory Foot Care PA is a Durable Medical Equipment & Medical Supplies organization in Pasadena, MD (NPI 1386822104).
Provider details
- NPI number
- 1386822104
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jay Mickenberg, Owner(410) 255-0040
- License
- 01053 (MD)
Specialties & taxonomies
Suppliers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2011-04-14
Frequently asked questions
- What is Mickenbergs Ambulatory Foot Care PA's NPI number?
- Mickenbergs Ambulatory Foot Care PA's National Provider Identifier (NPI) is 1386822104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mickenbergs Ambulatory Foot Care PA?
- Mickenbergs Ambulatory Foot Care PA is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Mickenbergs Ambulatory Foot Care PA located?
- Mickenbergs Ambulatory Foot Care PA's practice location on file with NPPES is 8094 Edwin Raynor Blvd, Pasadena, MD 21122-6834.
- What is Mickenbergs Ambulatory Foot Care PA's phone number?
- The practice phone number listed in the NPPES registry for Mickenbergs Ambulatory Foot Care PA is (410) 255-0040.
- Does Mickenbergs Ambulatory Foot Care PA accept Medicare?
- Mickenbergs Ambulatory Foot Care PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mickenbergs Ambulatory Foot Care PA?
- The authorized official listed on Mickenbergs Ambulatory Foot Care PA's NPPES record is Jay Mickenberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mickenbergs Ambulatory Foot Care PA's NPI active?
- Yes — Mickenbergs Ambulatory Foot Care PA's NPI (1386822104) is active in the NPPES registry as of the last update on 2011-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.