Individual provider Active NPI

Raluca Radulescu-Marino, M.D.

  • Child & Adolescent Psychiatry Physician
  • Glen Rock, NJ
National Provider Identifier
1447455795
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA07742900 Issued in NJ
Practice address
875 Lincoln Ave Ste 1
Glen Rock, NJ 07452-3228
Phone
(201) 445-1990
NPI assigned
Jun 18, 2007
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07742900 NJ Primary

Addresses

Primary practice location

875 Lincoln Ave Ste 1
Glen Rock, NJ 07452-3228

Mailing address

875 Lincoln Ave Ste 1
Glen Rock, NJ 07452-3228
Phone (201) 445-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 14, 2015 through Sep 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1447455795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 LINCOLN AVE STE 1",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523228",
            "telephone_number": "201-445-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 LINCOLN AVE STE 1",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523228",
            "telephone_number": "201-445-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADULESCU-MARINO",
        "first_name": "RALUCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07742900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.