Mara Michelle Berganovsky
MSN CNM WHNP-BC | Nurse Practitioner
1 Bay Ave, Montclair
New Jersey, 07042-4837
973-429-6000
Mara Michelle Berganovsky is a Montclair, New Jersey based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Mara Michelle Berganovsky is 25ME00095900 for Nurse Practitioner in New Jersey. Her current practice location is 1 Bay Ave, Montclair. Patients can reach her at 973-429-6000. Mara Michelle Berganovsky is MSN CNM WHNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1801730353.
Mara Michelle Berganovsky has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mara Michelle Berganovsky speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mara Michelle Berganovsky |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | MSN CNM WHNP-BC |
| Practice Address: | 1 Bay Ave, Montclair,
New Jersey, 07042-4837 |
| Phone: | 973-429-6000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1801730353 |
| NPI Enumeration Date: | 15 Apr, 2026 |
| NPI Last Update On: | 15 Apr, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mara Michelle Berganovsky are as mentioned below.
| License Number | Specialization | State | Status | |
| 25ME00095900 | Nurse Practitioner | New Jersey | Primary | |
| 776424 | Registered Nurse | New York | Secondary | |
| 26NR21594300 | Registered Nurse | New Jersey | Secondary | |
| Midwife | New York | Secondary | |
| F421971-01 | Women Health NP | New York | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mara Michelle Berganovsky
840 North Rd,
Ridgewood, New Jersey |
| Zip: | 07450-2119 |
Patients can reach Mara Michelle Berganovsky at
1 Bay Ave, Montclair, New Jersey or can
call to book an appointment on 973-429-6000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.