Michaela Brennan
Individual provider Active NPI Nurse Practitioner · Berkeley Heights, NJ
NPI 1740124643 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1740124643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AG02260048 (NJ)
- Practice address
- 50 Hamilton Ave
Berkeley Heights, NJ 07922-1869 - Phone
- (908) 400-1234
- NPI assigned
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG02260048 | NJ | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AG02260048 | NJ | Yes |
Addresses
Primary practice location
50 Hamilton Ave
Berkeley Heights, NJ 07922-1869
Mailing address
50 Hamilton Ave
Berkeley Heights, NJ 07922-1869
Other names
- Michaela Korduba
Other providers in Berkeley Heights, NJ
- Christopher M Boni
- Daniella Andrea Borges
- John Paul Bouffard
- Carol G Boyer
- Jaclyn Brancato
- Robert Brenner
- Kathleen Helen Breslin
- Melissa Breslin
- Brighter Future Therapy, LLC
- Sarah H Brown
All providers in Berkeley Heights, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.