Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN LAURA JEDRUSZCZUK DO
NPI 1598405870
Dermatology in Rutherford, NJ

Active since April 01, 2022PECOS Enrolled
75 ORIENT WAY STE 204, RUTHERFORD, NJ 07070(201) 623-8000(201) 578-5160 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 10, 2026, Aug 8, 2026 (2 updates tracked since 2026).

About Kathleen Laura Jedruszczuk Do NPPES

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

KATHLEEN LAURA JEDRUSZCZUK DO (NPI 1598405870) is an individual dermatology provider in Rutherford, New Jersey, licensed in New Jersey (25MB13233000) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598405870
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKATHLEEN LAURA JEDRUSZCZUKCredential: DO
Location Address75 ORIENT WAY STE 204Rutherford, NJ 07070-2086
Mailing Address75 Orient Way Ste 204Rutherford, NJ 07070-2086 · (201) 623-8000
Fax(201) 578-5160
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1598405870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MB13233000
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
75 ORIENT WAY STE 204, Rutherford, NJ 07070

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Laura Jedruszczuk Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07070 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Dermatology
75 ORIENT WAY STE 204
RUTHERFORD, NJ 07070
Dermatology
75 ORIENT WAY STE 204
RUTHERFORD, NJ 07070
Dermatology
75 ORIENT WAY STE 204
RUTHERFORD, NJ 07070
Dermatology
75 ORIENT WAY STE 204
RUTHERFORD, NJ 07070

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 Kathleen Jedruszczuk's NPI number?

The NPI number for Kathleen Jedruszczuk is 1598405870. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Kathleen Jedruszczuk located?

Kathleen Jedruszczuk practices at 75 Orient Way Ste 204, Rutherford, NJ 07070. The listed phone number is (201) 623-8000.

What is Kathleen Jedruszczuk's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kathleen Jedruszczuk enrolled in Medicare?

Yes. Kathleen Jedruszczuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Jedruszczuk was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.