1336149962 Dr. Jay Marc Mickenberg, DPM
Podiatrist
Reactivated
Basic Information
- Full Name
- Dr. Jay Marc Mickenberg, DPM
- Gender
- Male
- Enumeration Date
- July 26, 2005
- Last Update
- February 21, 2024
- Deactivation Date
- March 21, 2006
- Reactivation Date
- March 24, 2006
Practice Location
- Address
- 8094 EDWIN RAYNOR BLVD
SUITE C
PASADENA, MD 211226834 - Phone
- (410) 255-0040
- Fax
- (410) 360-4955
Mailing Address
- Address
- 8094 EDWIN RAYNOR BLVD
SUITE C
PASADENA, MD 211226834 - Phone
- (410) 255-0040
- Fax
- (410) 360-4955
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Podiatrist | 213E00000X | Podiatrist | 1053 | MD | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T276 | 01 | MD | BC/BS OF MD |
| 062308301 | 05 | MD | N/A |
| 521617469 | 01 | N/A | UNITED HEALTHCARE |
| B765 001 | 01 | N/A | BC/BS FEDERAL |
| 1338463 | 01 | N/A | CIGNA PPO/HMO |
| 521617469 | 01 | N/A | EMPLOYER HEALTH INSURANCE |
| 521617469 | 01 | N/A | COVENTRY |
| 521617469 | 01 | N/A | FIRST HEALTH |
| 521617469 | 01 | N/A | MAMSI |
| 521617469 | 01 | N/A | TRICARE |
| 217484 | 01 | N/A | ALLIANCE |
| 521617469 | 01 | N/A | EHP |
| B765 | 01 | MD | BLUE CHOICE |
| 217484 | 01 | N/A | MDIPA/OPTIMUM CHOICE |
| 480012800 | 01 | N/A | RAILROAD MEDICARE |
| 521617469 | 01 | N/A | CIGNA HEALTHCARE OPEN ACC |
| 521617469 | 01 | N/A | FIDELITY |
Frequently Asked Questions
What is Dr. Jay Marc Mickenberg, DPM's NPI number?
Dr. Jay Marc Mickenberg, DPM's NPI number is 1336149962.
Which doctor has NPI number 1336149962?
The doctor with NPI number 1336149962 is Dr. Jay Marc Mickenberg, DPM.
What is Dr. Jay Marc Mickenberg, DPM's practice address?
Dr. Jay Marc Mickenberg, DPM's practice address is 8094 EDWIN RAYNOR BLVD, SUITE C, PASADENA, MD, 211226834.
Which doctor practices at 8094 EDWIN RAYNOR BLVD, SUITE C, PASADENA, MD, 211226834?
Dr. Jay Marc Mickenberg, DPM practices at 8094 EDWIN RAYNOR BLVD, SUITE C, PASADENA, MD, 211226834.
What is Dr. Jay Marc Mickenberg, DPM's phone number?
Dr. Jay Marc Mickenberg, DPM's phone number is (410) 255-0040.
Who is (410) 255-0040?
(410) 255-0040 is the phone number for Dr. Jay Marc Mickenberg, DPM.
What is Dr. Jay Marc Mickenberg, DPM's specialty?
Dr. Jay Marc Mickenberg, DPM's specialty is Podiatrist.
What type of doctor is Dr. Jay Marc Mickenberg, DPM?
Dr. Jay Marc Mickenberg, DPM is a Podiatrist.
Is Dr. Jay Marc Mickenberg, DPM a Podiatrist?
Yes, Dr. Jay Marc Mickenberg, DPM is a Podiatrist.
Is Dr. Jay Marc Mickenberg, DPM still practicing?
Yes, Dr. Jay Marc Mickenberg, DPM has reactivated their practice and is currently practicing.
Is Dr. Jay Marc Mickenberg, DPM accepting new patients?
Dr. Jay Marc Mickenberg, DPM may be accepting new patients. Please call their office at (410) 255-0040 to inquire about availability.
Is NPI 1336149962 still active?
Yes, NPI 1336149962 has been reactivated and is currently active.
Where does Dr. Jay Marc Mickenberg, DPM practice?
Dr. Jay Marc Mickenberg, DPM practices in PASADENA, MD.
Is Dr. Jay Marc Mickenberg, DPM a male or female doctor?
Dr. Jay Marc Mickenberg, DPM is a male doctor.