Active NPI
Gina M Radice, M.A
- Clinical Psychologist
- Freehold, NJ
National Provider Identifier
1174962088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00585900
- Practice address
- 3499 Route 9 N Ste 2C
Freehold, NJ 07728 - Phone
- (732) 982-2888
- Fax
- (847) 859-5885
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | R01022887455892 | NJ | |
| Clinical Psychologist | 103TC0700X | 35SI00585900 | NJ | Primary |
Addresses
Primary practice location
3499 Route 9 N Ste 2C
Freehold, NJ 07728
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 737-8768
Other practice location 1
3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 239-8300
Other practice location 2
3499 Rte 9 Ste 2C
Freehold, NJ 07728
Phone (732) 982-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R01022887455892 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients |
Locations
1610 Route 88 W
Brick, NJ 08724
Phone (732) 295-6543
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
19 Davis Ave
Fl 9
Neptune, NJ 07753
Phone (732) 897-3640
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1174962088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E HAWTHORN PKWY STE 235",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611454",
"telephone_number": "847-737-8768",
"fax_number": "847-859-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3499 ROUTE 9 N STE 2C",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-982-2888",
"fax_number": "847-859-5885"
}
],
"practiceLocations": [
{
"address_1": "3095 Kettering Blvd",
"address_purpose": "LOCATION",
"city": "Moraine",
"state": "OH",
"postal_code": "454391983",
"country_code": "US",
"telephone_number": "937-239-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3499 Rte 9 Ste 2C",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "07728",
"country_code": "US",
"telephone_number": "732-982-2888",
"fax_number": "847-859-5885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADICE",
"first_name": "GINA",
"middle_name": "M",
"credential": "M.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "R01022887455892",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00585900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.