Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryann Prakash Jacob, MD

Individual provider Family Medicine Physician · NPI 1649665670

Maryann Prakash Jacob, MD is a Family Practice in White Plains, New York. Qualified in 2012, 14 years ago. Practices with White Plains Physician Services PC, a 384-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

79 E Post Rd
White Plains, NY 10601-5008
Phone: (914) 681-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 296270 (NY)

Record details

NPI number1649665670
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2015
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice White Plains Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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