Jacob L. Gordon, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0088330 Issued in MD

Practice address

10 Crossroads Dr Ste 106
Owings Mills, MD 21117-5464

Phone

(443) 524-0965

Fax

(410) 826-3780

NPI assigned

Sep 5, 2006

Last updated

Nov 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24618/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacob L Gordon MD Ms LLC

  • Neurology Physician
  • Owings Mills, MD
  • NPI 1831079037
  Medicare reassignment NPD Authorized official
• Rem Nation PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • West Branch, MI
  • NPI 1972962470
  Medicare reassignment NPD
• Fall Prevention and Stroke Rehab Physician, LLC

  • Medical Specialty Clinic/Center
  • Owings Mills, MD
  • NPI 1124564703
  NPD (past)
• Fall Prevention and Stroke Rehab Physician, LLC

  dba Steady Strides

  • Medical Specialty Clinic/Center
  • Frederick, MD
  • NPI 1922831825
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1114029550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MARNAT RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084503",
            "telephone_number": "443-524-0965",
            "fax_number": "410-826-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CROSSROADS DR STE 106",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175464",
            "telephone_number": "443-524-0965",
            "fax_number": "410-826-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9199 Reisterstown Rd Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211174513",
            "country_code": "US",
            "telephone_number": "443-898-8160",
            "fax_number": "443-898-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JACOB",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0088330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Goodling, LGPC
• Kristen Dayle Goodreau, LCPC
• Kenneth Marvin Goodwich, M.D.
• Ally Gordon, PA-C
• Avi Gordon, BT
• Priya Gordon
• Sharon Faith Gorenstein, PH.D.
• Tamisha Gould
• Jessica Gousby, BT
• GPS Clinical Solutions, LLC

• Neurology Physician in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.