OrganizationActive
Northern Oak Dermatology LLC
NPI 1114675915 · Medical Specialty Clinic/Center · Pine Brook, NJ
Provider details
- NPI number
- 1114675915
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Jasterzbski, Managing Member(973) 559-3993
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
64 US Highway 46 Ste 201
Pine Brook, NJ 07058-4401
Phone: (973) 559-3993
Approximate (ZIP-level) locationGet directions
Mailing address
64 US Highway 46 Ste 201
Pine Brook, NJ 07058-9629
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.