BENJAMIN JON NELSON (NPI# 1023375011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023375011 |
| Entity Type | Individual |
| Full Name | BENJAMIN JON NELSON |
| Credential | M.D. |
| Practice Address |
1202 Driving Park Ave Newark NY 14513 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 3153592690 |
| Mailing Telephone | 5859221304 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 280945 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Elmwood Ave, Box Surg, Rochester, NY 146420001 | 5852752723 | |
| 6532 Anthony Dr, Victor, NY 145641403 | 5853988253 | |
| 200 North St, Geneva, NY 144561561 | 3157875272 | |
| 220 Linden Oaks Ste 100, Rochester, NY 146252839 | 5852482019 | 5855861755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932698099 | Benjamin Nelson | Chiropractor | 250 Palm Coast Pkwy Ne Unit 504, Palm Coast, FL 32137-8288 | 2018-05-04 |
| 1134484876 | Benjamin Nelson | Respite Care | 4372 E Sack Dr, Phoenix, AZ 85050-3395 | 2012-07-09 |
| 1053353904 | Benjamin Nelson | Physical Therapist | 4445 Sw Barbur Blvd Ste 204, Portland, OR 97239-4047 | 2006-06-12 |
| 1487157293 | Benjamin Rhett Nelson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-03-18 |
| 1558863464 | Benjamin Eric Nelson | Student in an Organized Health Care Education/Training Program | 7007 Powers Blvd, Parma, OH 44129-5437 | 2018-03-07 |
| 1942721279 | Benjamin Nelson | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-06-27 |
| 1417477712 | Benjamin Nelson | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Center, Omaha, NE 68198-4150 | 2017-06-27 |
| 1609239664 | Benjamin Shaw Nelson | Surgery | 88 E Newton St, C515, Boston, MA 02118-2308 | 2016-03-29 |
| 1245496520 | Benjamin Nelson | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2008-08-06 |
| 1700088473 | Benjamin James Nelson | Registered Nurse | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2007-06-04 |
| Street Address |
1202 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826837 | Eileen Ersteniuk | Social Worker | 1202 Driving Park Ave, Newark, NY 14513-1086 | 2006-07-21 |
| 1194230490 | Carolyn E. Rhodes | Physician Assistant | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2017-12-08 |
| 1427361005 | Newark-wayne Urology Pllc | Urology | 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 | 2010-07-23 |
| 1164675955 | Rochester General Hospital | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1225280910 | Rochester General Hospital | Internal Medicine | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-14 |
| 1720180540 | John P Delisio | Physician Assistant | 1202 Driving Park Ave, Ste 5, Newark, NY 14513-1057 | 2006-09-02 |
| 1073627337 | Ralph R Madeb | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1407029051 | Ronaldo L. Domingo Md Pa | Urology | 620 Christiana Medical Ctr, Newark, DE 19702-1656 | 2008-04-03 |
| 1679633374 | Peter J Muench Md Pa | Urology | H50 Omega Drive, Newark, DE 19713 | 2006-12-11 |
| 1972617314 | Donald J Lewis | Urology | 1902 Tamarack Rd, Newark, OH 43055 | 2006-08-19 |
| 1457312597 | William Alvin Stallworth | Urology | 1272 W Main St Ste 401, Newark, OH 43055-2056 | 2006-03-29 |
| 1427023639 | Peter J Muench | Urology | H 50 Omega Drive, Newark, DE 19713 | 2006-02-21 |
| 1255613576 | Branford Medical Group, PC | Urology | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-09-13 |
| 1427361005 | Newark-wayne Urology Pllc | Urology | 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 | 2010-07-23 |
| 1164675955 | Rochester General Hospital | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1508086554 | Licking Memorial Professional Corporation | Urology | 1272 West Main Street, Bldg 4, Newark, OH 43055-2004 | 2007-05-01 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.