Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bettina Manduca

Individual provider Internal Medicine Physician · NPI 1538573779

Bettina Manduca is an Internal Medicine in Jackson Heights, New York. Qualified in 1992, 34 years ago. Practices with North Shore Medical Group of the Mount Sinai School of Medicine, a 323-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

3722 82nd St 2nd Fl
Jackson Heights, NY 11372-7032
Phone: (347) 756-0997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 285737 (NY)

Record details

NPI number1538573779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2014
Last updated in NPPESApril 20, 2017
Mailing address3722 82nd St, 2nd Floor, Jackson Heights, NY 11372-7032

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice North Shore Medical Group Of The Mount Sinai School Of Medicine — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson Heights