Mara M Berganovsky, MSN CNM WHNP-BC
Midwife in Montclair, New Jersey
1801730353- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 973-429-6000
- Fax
- —
- Last updated
- April 15, 2026
Mara Michelle Berganovsky is a Midwife based in Montclair, NJ. Mara Michelle Berganovsky practices in Montclair, NJ and has the professional credentials of MSN CNM WHNP-BC. The NPI Number for Mara Michelle Berganovsky is 1801730353 and holds a License No. 776424 (NY). The current practice location address for Mara Michelle Berganovsky is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6000.
Provider Profile Details
- NPI Number
- 1801730353
- Provider Name
- Mara Michelle Berganovsky
- Credential
- MSN CNM WHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 973-429-6000
- Primary Taxonomy
- Midwife · 176B00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 15, 2026
- Last Update Date
- April 15, 2026
- Certification Date
- March 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 973-429-6000
Provider Business Mailing Address Details
- Address
- 840 North RD
Ridgewood, NJ 07450-2119 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-2119
License Information
- License Number (1)
- 776424
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 26NR21594300
- License State (2)
- NJ
- Taxonomy (2)
- Registered Nurse, Medical-Surgical · 163WM0705X
- License State (3)
- NY
- Taxonomy (3)
- Midwife · 176B00000X
- License Number (4)
- F421971-01
- License State (4)
- NY
- Taxonomy (4)
- Nurse Practitioner, Women's Health · 363LW0102X
- License Number (5)
- 25ME00095900
- License State (5)
- NJ
- Taxonomy (5)
- Midwife · 176B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mara M Berganovsky, MSN CNM WHNP-BC?
The NPI number of Mara M Berganovsky, MSN CNM WHNP-BC is 1801730353. It was assigned on April 15, 2026 and is currently active in the NPPES registry.
What is the specialty of Mara M Berganovsky, MSN CNM WHNP-BC?
Mara M Berganovsky, MSN CNM WHNP-BC is registered under the primary taxonomy Midwife (code 176B00000X), licensed in NY under license number 776424.
Where does Mara M Berganovsky, MSN CNM WHNP-BC practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801730353 directly on the NPPES registry website.