Active NPI
Benjamin Jon Nelson, M.D.
- Urology Physician
- Newark, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 280945
- Practice address
- 1202 Driving Park Ave
Newark, NY 14513 - Phone
- (315) 359-2690
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | 280945 | NY | Primary |
Addresses
Primary practice location
1202 Driving Park Ave
Newark, NY 14513
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1304
Other practice location 1
601 Elmwood Ave
Box SURG
Rochester, NY 14642-0001
Phone (585) 275-2723
Other practice location 2
6532 Anthony Dr
Victor, NY 14564-1403
Phone (585) 398-8253
Other practice location 3
200 North St
Geneva, NY 14456-1561
Phone (315) 787-5272
Other practice location 4
220 Linden Oaks Ste 100
Rochester, NY 14625-2839
Phone (585) 248-2019
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Benjamin.Nelson@rochesterregional.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
2420 Ridgeway Ave
Rochester, NY 14626-4114
Phone (585) 227-4000
2615 Culver Rd
Suite 100
Rochester, NY 14609-1716
Phone (585) 336-5320
Hospital & facility affiliations
- Rochester General Hospital
- Newark-Wayne Community Hospital
- Clifton Springs Hospital and Clinic
- Geneva General Hospital
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 32 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280945 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
200 North St
Geneva, NY 14456
Phone (315) 787-5100
1202 Driving Park Ave
Newark, NY 14513
Phone (315) 331-2030
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
220 Linden Oaks
Ste 100
Rochester, NY 14625
Phone (585) 248-2019
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
2420 Ridgeway Ave
Rochester, NY 14626
Phone (585) 227-4000
2615 Culver Rd
Ste 100
Rochester, NY 14609
Phone (585) 336-5320
6532 Anthony Dr
Victor, NY 14564
Phone (315) 359-2690
Interoperability endpoints
- bnelson@cfu.medentdirect.com
- benjamin.nelson@rochesterregional.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1174990303
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- General Acute Care Hospital
- Geneva, NY
- NPI 1952418352
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1023375011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 DRIVING PARK AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "14513",
"telephone_number": "315-359-2690"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave",
"address_2": "Box SURG",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-275-2723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6532 Anthony Dr",
"address_purpose": "LOCATION",
"city": "Victor",
"state": "NY",
"postal_code": "145641403",
"country_code": "US",
"telephone_number": "585-398-8253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 North St",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "144561561",
"country_code": "US",
"telephone_number": "315-787-5272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Linden Oaks Ste 100",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146252839",
"country_code": "US",
"telephone_number": "585-248-2019",
"fax_number": "585-586-1755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "BENJAMIN",
"middle_name": "JON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "280945",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Benjamin.Nelson@rochesterregional.org",
"affiliation": "N",
"address_1": "1202 Driving Park Ave",
"city": "Newark",
"state": "NY",
"country_code": "US",
"postal_code": "14513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.