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

Benjamin Jon Nelson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023375011

Benjamin Jon Nelson, MD is an Urology in Newark, New York. Qualified in 2012, 14 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1202 Driving Park Ave
Newark, NY 14513
Phone: (315) 359-2690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 200 North St, Geneva, NY 14456-1561 — (315) 787-5272
  • 220 Linden Oaks Ste 100, Rochester, NY 14625-2839 — (585) 248-2019
  • 601 Elmwood Ave, Rochester, NY 14642-0001 — (585) 275-2723
  • 6532 Anthony Dr, Victor, NY 14564-1403 — (585) 398-8253

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 280945 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023375011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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