Jan Maby, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

173458 Issued in NY

Practice address

900 Washington Rd
West Point, NY 10996-1109

Phone

(845) 938-5959

Fax

(845) 938-2306

NPI assigned

Sep 28, 2006

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• North General Hospital

  • Psychiatric Hospital Unit
  • New York, NY
  • NPI 1467616219
  NPD (past)
• Saw Mill Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Ardsley, NY
  • NPI 1356360481
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1013009190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-5959",
            "fax_number": "845-938-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-5959",
            "fax_number": "845-938-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABY",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "173458",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "173458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01750045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando Lopez Jr., CRNA
• Angel G Lugo Steidel, PH.D.
• Katherine Lynn Lukianoff, FNP
• Laurie Luria, LCSW-R
• James A Lynch, MD
• Erin Madden, ATC
• Joseph Charles Marasia, PH.D.
• Kayla Elizabeth Marthy, FNP-BC
• Tara Catherine Martin, MS, ATC
• Jacquelyn Marie McCann, MS, ATC, PES, CES

• Internal Medicine Physician in West Point, NY
• Providers in West Point, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.