Jacob L Gordon MD Ms LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JACOB L GORDON MD MS LLC

Practice address

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

Phone

(443) 524-0965

Fax

(410) 826-3780

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Gordon, MDNPI 1114029550

Title

Owner

Phone

(443) 524-0965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob L. Gordon, MD

  • Neurology Physician
  • Owings Mills, MD
  • NPI 1114029550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1831079037",
    "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": [],
    "basic": {
        "organization_name": "JACOB L GORDON MD MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-524-0965",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamia J Jackson
• Joanna Jackson
• Rasheeda Jackson
• Taysha N Jackson
• Unique Jackson
• Jodi M. Jacobson, PH.D.
• Syeda Maheen Jaffery, DMD
• Donnell I James Jr., P.A.
• Risa Jampel, M.D.
• Brittany Shanice Janer, LGPC

• 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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.