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NPI · 1336149962 · NPPES-sourced

Dr. Jay Mickenberg DPM

ActivePodiatry
NPI Number
1336149962
Type 1 · Individual
Taxonomy Code
213E00000X
Contact
(410) 255-0040
License MD · 1053
Last Updated
Enumerated
Primary practice addressMD · 21122-6834
8094 Edwin Raynor Blvd, Suite CPasadena, MD 21122-6834
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Also known as

  • Also known asMickenberg, Jay M

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1336149962 is registered to Dr. Jay Mickenberg DPM, a Podiatry practising at 8094 Edwin Raynor Blvd, Suite C in Pasadena, Maryland. Podiatry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jay Mickenberg DPM has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • T276MD· Issued by BC/BS OF MD
  • 521617469· Issued by UNITED HEALTHCARE
  • B765 001· Issued by BC/BS FEDERAL
  • 1338463· Issued by CIGNA PPO/HMO
  • 521617469· Issued by EMPLOYER HEALTH INSURANCE
  • 521617469· Issued by COVENTRY
  • 521617469· Issued by FIRST HEALTH
  • 521617469· Issued by MAMSI
  • 521617469· Issued by TRICARE
  • 217484· Issued by ALLIANCE
  • 521617469· Issued by EHP
  • B765MD· Issued by BLUE CHOICE
  • 217484· Issued by MDIPA/OPTIMUM CHOICE
  • 480012800· Issued by RAILROAD MEDICARE
  • 521617469· Issued by CIGNA HEALTHCARE OPEN ACC
  • 521617469· Issued by FIDELITY

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jay Mickenberg DPM accepts. To confirm in-network status with your specific health plan, contact Dr. Jay Mickenberg DPM directly at (410) 255-0040.

Frequently asked

Yes. NPI 1336149962 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Podiatry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (410) 255-0040.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jay Mickenberg DPM is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy213E00000X
Last updated
Enumerated
StatusActive
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