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

Mara Michelle Berganovsky, MSNCNMWHNP-BC

Individual provider Registered Nurse · NPI 1801730353

Mara Michelle Berganovsky, MSNCNMWHNP-BC is a Certified Nurse Midwife (CNM) in Montclair, New Jersey. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
1
Licensed in
NJ, NY
In the registry since
2026
Specialties on file
5

Practice location Address checks out

1 Bay Ave
Montclair, NJ 07042-4837
Phone: (973) 429-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 25ME00095900 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 776424 (NY)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 26NR21594300 (NJ)
Midwife Taxonomy 176B00000X (NY)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence F421971-01 (NY)

Record details

NPI number1801730353
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNCNMWHNP-BC
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateMarch 25, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Montclair