Long Lake Podiatry PC
NPI 1962526624 · Foot & Ankle Surgery Podiatrist · Troy, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Long Lake Podiatry PC is a Foot & Ankle Surgery Podiatrist organization in Troy, MI (NPI 1962526624).
Provider details
- NPI number
- 1962526624
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Amy Dooley, Office Manager(248) 528-0709
- License
- 5901001005 (MI)
Specialties & taxonomies
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
19 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
- 2007-03-19
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Frequently asked questions
- What is Long Lake Podiatry PC's NPI number?
- Long Lake Podiatry PC's National Provider Identifier (NPI) is 1962526624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Lake Podiatry PC?
- Long Lake Podiatry PC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Long Lake Podiatry PC located?
- Long Lake Podiatry PC's practice location on file with NPPES is 2914 E Long Lake Rd, Troy, MI 48085-3780.
- What is Long Lake Podiatry PC's phone number?
- The practice phone number listed in the NPPES registry for Long Lake Podiatry PC is (248) 528-0709.
- Does Long Lake Podiatry PC accept Medicare?
- Long Lake Podiatry PC 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 Long Lake Podiatry PC?
- The authorized official listed on Long Lake Podiatry PC's NPPES record is Amy Dooley, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Lake Podiatry PC's NPI active?
- Yes — Long Lake Podiatry PC's NPI (1962526624) is active in the NPPES registry as of the last update on 2025-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.