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RICHARD VALDERAS PENALOSA JR.
NPI 1679046601
Nurse Practitioner in Neptune, NJ

Active since January 02, 2019PECOS EnrolledAccepts Medicare Assignment
409 LOCUST ST, NEPTUNE, NJ 07753(732) 447-6937 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Valderas Penalosa Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD VALDERAS PENALOSA JR. (NPI 1679046601) is an individual nurse practitioner in Neptune, New Jersey, licensed in New Jersey (26NJ00853100) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679046601
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRICHARD VALDERAS PENALOSA JR.
Location Address409 LOCUST STNeptune, NJ 07753
Mailing Address409 Locust StNeptune, NJ 07753 · (732) 447-6937
Phone(732) 447-6937
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 2, 2019
✔ NPI 1679046601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00853100
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
409 LOCUST ST, Neptune, NJ 07753
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Other Names 1

Professional Name (2)Mr. Richard Valderas Penalosa Apn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Valderas Penalosa Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608114731
PECOS Enrollment IDI20190313002720
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
844 services486 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Penalosa's NPI number?

The NPI number for Richard Penalosa is 1679046601. It was assigned to this individual provider in the NPPES registry on January 2, 2019. The provider is also known as Mr. Richard Valderas Penalosa Apn.

Where is Richard Penalosa located?

Richard Penalosa practices at 409 Locust St, Neptune, NJ 07753. The listed phone number is (732) 447-6937.

What is Richard Penalosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Richard Penalosa enrolled in Medicare?

Yes. Richard Penalosa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Richard Penalosa affiliated with any hospitals?

According to CMS data, Richard Penalosa is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Penalosa was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.