BALANCED MEDICAL PLLC
NPI 1144179649
Clinic/Center - Medical Specialty in Port Washington, NY

Active since January 27, 2026CLIA 33D2321331 · Waiver
110 MAIN ST STE 103, PORT WASHINGTON, NY 11050(516) 853-7891(631) 350-8467 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Balanced Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALANCED MEDICAL PLLC (NPI 1144179649) is a healthcare organization registered as a medical specialty in Port Washington, New York and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Adrienne Mandelberger, Owner, as its authorized official.

NPPES Registry Identity

NPI1144179649
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBALANCED MEDICAL PLLC
Location Address110 MAIN ST STE 103Port Washington, NY 11050-2861
Mailing Address110 Main St Ste 103Port Washington, NY 11050-2861 · (516) 853-7891 · Fax (631) 350-8467
Fax(631) 350-8467
Organization SubpartNo
Authorized OfficialAdrienne MandelbergerOwner · (516) 375-8033
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
NPI 1144179649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
110 MAIN ST STE 103, Port Washington, NY 11050

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2321331

Balanced Medical PLLC · Port Washington, NY
Active · expires Apr 1, 2027
CLIA Number33D2321331
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorAdrienne H. Mandelberger
Laboratory Phone(516) 853-7891
Laboratory LocationBalanced Medical PLLC110 Main Street, Port Washington, NY 11050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
110 MAIN ST STE 103
PORT WASHINGTON, NY 11050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balanced Medical PLLC's NPI number?

The NPI number for Balanced Medical PLLC is 1144179649. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Balanced Medical PLLC located?

Balanced Medical PLLC is located at 110 Main St Ste 103, Port Washington, NY 11050. The listed phone number is (516) 853-7891.

What is Balanced Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Balanced Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2321331) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Balanced Medical PLLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.