National Provider Identifier
Benjamin Jon Nelson, M.D.
Benjamin Jon Nelson, M.D. is listed in the NPPES registry with a primary specialty of Urology Physician in Newark, NY and a listed phone number of (315) 359-2690.
Profile Overview
- NPI
- 1023375011
- Provider Type
- Individual
- Primary Specialty
- Urology Physician
- Enumeration Date
- April 16, 2012
- Last Updated
- December 16, 2022
Practice Location
- 1202 Driving Park Ave
- Newark, NY 14513
Phone: (315) 359-2690
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Urology Physician (208800000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- Benjamin.Nelson@rochesterregional.org
Direct Messaging Address | Newark, NY 14513
Full Record
- NPI
- 1023375011
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Benjamin
- Middle Name
- Jon
- Credential
- M.D.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1304
- Practice Street Address
- 1202 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 359-2690
- Enumeration Date
- April 16, 2012
- Last Updated
- December 16, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urology Physician (208800000X), Student in an Organized Health Care Education/Training Program (390200000X)