Kathleen Laura Jedruszczuk, DO
NPI 1598405870ActiveIndividual· Dermatology· Rutherford, NJ
Dermatology (DO) in Rutherford, New Jersey, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2022). Enrolled in Medicare as practitioner - dermatology.
Overview
| NPI | 1598405870 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 1, 2022 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 25MB13233000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (NJ) |
|---|
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Dermatology |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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