Gina M Radice, MA | |
3499 Route 9 N Ste 2c, Freehold, NJ 07728 | |
(732) 982-2888 | |
(847) 859-5885 |
Full Name | Gina M Radice |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 3499 Route 9 N Ste 2c, Freehold, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174962088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | R01022887455892 (New Jersey) | Secondary |
103TC0700X | Psychologist - Clinical | 35SI00585900 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
Mailing Address | Practice Location Address |
---|---|
Gina M Radice, MA 175 E Hawthorn Pkwy Ste 235, Vernon Hills, IL 60061-1454 Ph: (847) 737-8768 | Gina M Radice, MA 3499 Route 9 N Ste 2c, Freehold, NJ 07728 Ph: (732) 982-2888 |
Dr. Heather Marie Blumert, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Stillwells Corner Rd Ste 7, Freehold, NJ 07728 Phone: 732-683-2322 | |
Dr. Amy L Altenhaus, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 80 E Main St, Freehold, NJ 07728 Phone: 732-780-6644 Fax: 732-845-1184 | |
Jacqueline A Ramirez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 Stillwells Corner Rd, Freehold, NJ 07728 Phone: 732-683-2322 | |
Stanley M Mandel, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 155 South St, Freehold, NJ 07728 Phone: 732-303-8171 Fax: 732-536-4562 | |
Dr. Lucinda M Monica, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 90 West Main St, 2nd Floor, Freehold, NJ 07728 Phone: 732-431-1869 Fax: 732-308-9847 | |
Dr. Stanley Zebrowski, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4400 Us Highway 9, Suite 1000, Freehold, NJ 07728 Phone: 732-409-0210 |