Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mickenbergs Ambulatory Foot Care PA

Organization Podiatrist · NPI 1386822104

Mickenbergs Ambulatory Foot Care PA is a Podiatrist 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.

See every abbreviation used in this directory →

Practice location Address checks out

8094 Edwin Raynor Blvd Ste C
Pasadena, MD 21122-6834
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

Other providers in Pasadena