NPIMap

Organization Active NPI

Jacob Tendler, M.D., P.a.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Towson, MD
National Provider Identifier
1063659175
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
D24868 Issued in MD
Legal business name
JACOB TENDLER, M.D., P.A.
Practice address
120 Sister Pierre Dr
Suite 501
Towson, MD 21204-7527
Phone
(410) 337-6800
Fax
(410) 337-8686
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Dr. Jacob Tendler, M.D.
Title
President
Phone
(410) 337-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X D24868 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr
Suite 501
Towson, MD 21204-7527

Mailing address

120 Sister Pierre Dr
Suite 501
Towson, MD 21204-7527
Phone (410) 337-6800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1063659175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 501",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047527",
            "telephone_number": "410-337-6800",
            "fax_number": "410-337-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 501",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047527",
            "telephone_number": "410-337-6800",
            "fax_number": "410-337-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB TENDLER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "TENDLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-337-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MD",
            "license": "D24868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.