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Contact Information

MARA M BERGANOVSKY, MSN CNM WHNP-BC
1 BAY AVE
MONTCLAIR, NJ07042-4837
 Phone: 973-429-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Medical-Surgical

163WM0705X
 

Registered Nurse

163W00000X
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARA M BERGANOVSKY · (Female)

NPI # 1801730353
Status Active
Credentials MSN CNM WHNP-BC
Entity Individual
Enumeration date 04/15/2026
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25ME00095900
  • NJ License # 26NR21594300
  • NY License # 776424
  • NY License # F421971-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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