Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Valderas Penalosa Jr.

Individual provider Nurse Practitioner · NPI 1679046601

Richard Valderas Penalosa Jr. is a Nurse Practitioner in Neptune, New Jersey. Qualified in 2018, 8 years ago. Practices with Olivia T. Ortiz MD PA, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2019
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Practice location Address checks out

409 Locust St
Neptune, NJ 07753
Phone: (732) 447-6937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ00853100 (NJ)

Record details

NPI number1679046601
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2019
Last updated in NPPESJanuary 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Olivia T. Ortiz Md Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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