Long Lake Podiatry PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5901001005 Issued in MI

Legal business name

LONG LAKE PODIATRY PC

Practice address

2914 E Long Lake Rd
Troy, MI 48085-3780

Phone

(248) 528-0709

Fax

(248) 528-1807

NPI assigned

Dec 31, 2007

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David H Berlin, DPMNPI 1801803309

Title

Owner/Doctor

Phone

(248) 528-0709

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Long Lake Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Long Lake Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1962526624
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David H Berlin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1801803309
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1326223132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853780",
            "telephone_number": "248-528-0709",
            "fax_number": "248-528-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853780",
            "telephone_number": "248-528-0709",
            "fax_number": "248-528-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LAKE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "248-528-0709",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": "5901001005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "89594B",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00245692",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1634294",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCROSS PIN",
            "identifier": "5631470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005335144",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM PROVIDER CODE",
            "identifier": "NC025717",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayant Murlidhar Lokhande
• Lauren Lombardo, PA-C
• Linet Palayoor Lonappan, MD
• Jeffrey A London, MD
• Long Lake Anesthesiology Consultants, PLC
• Long Lake Podiatry PC
• Long Lake RX
• Long Lake RX Pharmacy LLC
• April Long, PHARMD
• Graham W Long, MD

• Customized Equipment (DME) in Troy, MI
• Providers in Troy, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.