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JACOB ELIOT GORDON
NPI 1720922776
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 17, 2026PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Eliot Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ELIOT GORDON (NPI 1720922776) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720922776
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ELIOT GORDON
Location Address601 ELMWOOD AVERochester, NY 14642-0002
Mailing Address601 Elmwood Avenue, Department Of Neurology, Box 673Rochester, NY 14642-8673 · (585) 275-2545
Phone(585) 275-2100
Sole ProprietorNo
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1720922776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 ELMWOOD AVE, Rochester, NY 14642
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Eliot Gordon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Gordon's NPI number?

The NPI number for Jacob Gordon is 1720922776. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Jacob Gordon located?

Jacob Gordon practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Jacob Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Gordon enrolled in Medicare?

Yes. Jacob Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Gordon was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.