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NORTHERN OAK DERMATOLOGY LLC
NPI 1114675915
Clinic/Center - Medical Specialty in Pine Brook, NJ

Active since March 11, 2022
64 US HIGHWAY 46 STE 201, PINE BROOK, NJ 07058(973) 559-3993 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, Apr 5, 2023, Jul 6, 2022 and 1 more (4 updates tracked since 2022).

About Northern Oak Dermatology Llc NPPES

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

NORTHERN OAK DERMATOLOGY LLC (NPI 1114675915) is a healthcare organization registered as a medical specialty in Pine Brook, New Jersey and active in the NPI registry since March 2022. The organization lists Thomas Joseph Jasterzbski, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1114675915
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTHERN OAK DERMATOLOGY LLC
Location Address64 US HIGHWAY 46 STE 201Pine Brook, NJ 07058-4401
Mailing Address64 Us Highway 46 Ste 201Pine Brook, NJ 07058-9629
Phone(973) 559-3993
Organization SubpartNo
Authorized OfficialThomas Joseph JasterzbskiManaging Member · (973) 559-3993
Enumeration DateMarch 11, 2022
Last NPPES UpdateApril 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1114675915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
64 US HIGHWAY 46 STE 201, Pine Brook, NJ 07058
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIAS G LOGOTHETIS DPM
Podiatrist (Foot & Ankle Surgery)
64 US HIGHWAY 46 STE 201
PINE BROOK, NJ 07058
Morris County (973) 995-1901
PRIME PODIATRY LLC
Clinic/Center (Podiatric)
64 US HIGHWAY 46 STE 201
PINE BROOK, NJ 07058
Morris County (973) 934-9704

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 Northern Oak Dermatology LLC's NPI number?

The NPI number for Northern Oak Dermatology LLC is 1114675915. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Northern Oak Dermatology LLC located?

Northern Oak Dermatology LLC is located at 64 Us Highway 46 Ste 201, Pine Brook, NJ 07058. The listed phone number is (973) 559-3993.

What is Northern Oak Dermatology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Northern Oak Dermatology LLC was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.