Organization Active NPI

Plastic, Reconstructive, & Innovative Medical Aesthetics of New Jersey, PC

  • Plastic Surgery Physician
  • Bedminster, NJ
National Provider Identifier
1730015546
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC, RECONSTRUCTIVE, & INNOVATIVE MEDICAL AESTHETICS OF NEW JERSEY, PC
Practice address
350 Main St Ste 3
Bedminster, NJ 07921-2689
Phone
(908) 907-4364
NPI assigned
Jun 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Derek Woloszyn, MD
Title
Owner
Phone
(908) 907-4364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

350 Main St Ste 3
Bedminster, NJ 07921-2689

Mailing address

350 Main St Ste 3
Bedminster, NJ 07921-2689

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1730015546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST STE 3",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MAIN ST STE 3",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212689",
            "telephone_number": "908-907-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC, RECONSTRUCTIVE, & INNOVATIVE MEDICAL AESTHETICS OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "WOLOSZYN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-907-4364",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.