Adrienne Heather Mandelberger, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

289293 Issued in NY

Practice address

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

Phone

(516) 853-7891

Fax

(631) 350-8467

NPI assigned

Apr 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2024 through Sep 23, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: adriennemandelberger@nslijmedgr.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Medical PLLC

  • Medical Specialty Clinic/Center
  • Port Washington, NY
  • NPI 1144179649
  NPD Authorized official

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1558704148",
    "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"
        },
        {
            "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": {
        "last_name": "MANDELBERGER",
        "first_name": "ADRIENNE",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "289293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan Ma, L.AC.
• Lionel U Mailloux, MD
• Mary C Mallappallil, MD
• Bella Manakhimova
• Jamie Lynn Mandel, M.A.
• Marco K Michelson, MD, PC
• Lisa Marini, DDS
• Catherine Marino Carrozzo, DDS
• Yelena Marks, MS, CCC-SLP
• Gloria Marmor, PH.D.

• Obstetrics & Gynecology Physician in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.