Richard Valderas Penalosa Jr.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00853100 Issued in NJ

Practice address

409 Locust St
Neptune, NJ 07753

Phone

(732) 447-6937

NPI assigned

Jan 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Richard Valderas Penalosa Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olivia T. Ortiz MD PAGroup PAC ID 0749441137, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Olivia T. Ortiz MD PA

  • Infectious Disease Physician
  • Toms River, NJ
  • NPI 1578725073
  Medicare reassignment Care Compare group NPD
• Infectious Diseases Professionals LLC

  • Infectious Disease Physician
  • Lakewood, NJ
  • NPI 1851324875
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1679046601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LOCUST ST",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-447-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LOCUST ST",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-447-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOSA",
        "first_name": "RICHARD",
        "middle_name": "VALDERAS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00853100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "PENALOSA",
            "middle_name": "VALDERAS",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bruce Patsner, M.D.
• Jordan Elizabeth Peake
• Stephen A Pear, RPH
• Pediatric Associates PA
• Cathy Margaret Pelican, APN
• Rachel Penn, MD
• Stephanie Anne Pepper
• Grace Isabel Perez, MD
• Personal Touch Home Care of NJ, Inc
• Christian Biron Perucho

• Nurse Practitioner in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.

Verify at the official NPI Registry.