Active NPIIndividual provider

Kathleen L Jedruszczuk, DO

Dermatology in Rutherford, New Jersey

NPI Number1598405870
Practice location
75 Orient Way Ste 204, Rutherford, NJ 07070-2086
Fax
201-578-5160
Last updated
September 10, 2026

Kathleen Laura Jedruszczuk is a Dermatology based in Rutherford, NJ. Kathleen Laura Jedruszczuk practices in Rutherford, NJ and has the professional credentials of DO. The NPI Number for Kathleen Laura Jedruszczuk is 1598405870 and holds a License No. 25MB13233000 (NJ). The current practice location address for Kathleen Laura Jedruszczuk is 75 Orient Way Ste 204, Rutherford, NJ 07070-2086 and can be reached out via phone at 201-623-8000 and via fax at 201-578-5160.

Provider Profile Details

NPI Number
1598405870
Provider Name
Kathleen Laura Jedruszczuk
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
75 Orient Way Ste 204, Rutherford, NJ 07070-2086
Phone Number
201-623-8000
Fax Number
201-578-5160
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2022
Last Update Date
September 10, 2026
Certification Date
September 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Orient Way Ste 204
Rutherford, NJ 07070-2086
Zip
07070-2086
Phone Number
201-623-8000
Fax Number
201-578-5160
Rutherford, NJ 07070Get directions →

Provider Business Mailing Address Details

Address
75 Orient Way Ste 204
Rutherford, NJ 07070-2086
City
Rutherford
State
NJ
Zip
07070-2086
Phone Number
201-623-8000

License Information

License Number
25MB13233000
License State
NJ
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen L Jedruszczuk, DO?

The NPI number of Kathleen L Jedruszczuk, DO is 1598405870. It was assigned on April 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Kathleen L Jedruszczuk, DO?

Kathleen L Jedruszczuk, DO is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MB13233000.

Where does Kathleen L Jedruszczuk, DO practice?

The practice location is 75 Orient Way Ste 204, Rutherford, NJ 07070-2086. The office can be reached at 201-623-8000 (phone) or 201-578-5160 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598405870 directly on the NPPES registry website.

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