Organization Active NPI

Balanced Medical PLLC

  • Medical Specialty Clinic/Center
  • Port Washington, NY
National Provider Identifier
1144179649
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BALANCED MEDICAL PLLC
Practice address
110 Main St Ste 103
Port Washington, NY 11050-2861
Phone
(516) 853-7891
Fax
(631) 350-8467
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Adrienne Mandelberger, MDNPI 1558704148
Title
Owner
Phone
(516) 375-8033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

110 Main St Ste 103
Port Washington, NY 11050-2861

Mailing address

110 Main St Ste 103
Port Washington, NY 11050-2861
Phone (516) 853-7891

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.balancedmedicalny.com/contact-us Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2321331Balanced Medical PLLC110 Main Street, Port Washington, NY 11050Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Locations

110 Main St
Ste 103
Port Washington, NY 11050
Phone (516) 853-7891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1144179649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST STE 103",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502861",
            "telephone_number": "516-853-7891",
            "fax_number": "631-350-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST STE 103",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502861",
            "telephone_number": "516-853-7891",
            "fax_number": "631-350-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "MANDELBERGER",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-375-8033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.balancedmedicalny.com/contact-us",
            "affiliation": "N",
            "endpointDescription": "practice website with fax#",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 Main St Ste 103",
            "city": "Port Washington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110502861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.