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

Individual provider Dermatology Physician · NPI 1598405870

Kathleen Laura Jedruszczuk, DO is a Dermatology Physician in Forest Hills, New York. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10201 66th Rd
Forest Hills, NY 11375-2029
Phone: (718) 830-4352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Orient Way Ste 204, Rutherford, NJ 07070-2086 — (201) 623-8000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 25MB13233000 (NJ)

Record details

NPI number1598405870
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026

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