DR. ANYANATE GWENDOLYNE JACK M.D., MPH
NPI 1952744104
Internal Medicine - Endocrinology, Diabetes & Metabolism in New York, NY

Q: What is Anyanate Jack's NPI number?

The NPI number for Anyanate Jack is 1952744104. It was assigned to this individual provider in the NPPES registry on April 8, 2013. The provider is also known as Dr. Gwendolyne Anyanate Jack M.D..

Q: What is Anyanate Jack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Anyanate Jack was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

211 E 80TH ST FL 2, NEW YORK, NY 10075(646) 962-8690 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2018, Jul 13, 2018, Dec 15, 2016 (3 updates tracked since 2016).

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About Dr. Anyanate Gwendolyne Jack M.d., Mph NPPES

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

DR. ANYANATE GWENDOLYNE JACK M.D., MPH (NPI 1952744104) is an individual endocrinology, diabetes & metabolism provider in New York, New York, licensed in New York (2928521) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952744104

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. ANYANATE GWENDOLYNE JACKCredential: M.D., MPH

Location Address211 E 80TH ST FL 2New York, NY 10075

Mailing Address525 E 68th St # 2026New York, NY 10065-4870

Phone(646) 962-8690

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2013

Enumeration DateApril 8, 2013

Last NPPES UpdateJuly 17, 20183 updates tracked since enumeration

✔ NPI 1952744104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NY · 2928521

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

211 E 80TH ST FL 2, New York, NY 10075

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Other Names 1

Other Name (5)Dr. Gwendolyne Anyanate Jack M.d.

Secondary Practice Locations 2

Location 1525 E 68th St # 2026New York, NY 10065-4870 · Phone (646) 962-8690

Location 2330 Brookline AveBoston, MA 02215-5400 · Phone (617) 667-9344 · Fax (617) 667-7060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anyanate Gwendolyne Jack M.d., Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577709146

PECOS Enrollment IDI20180809005242

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

268 services174 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

135 services83 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

99 services73 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330101

Location525 East 68th StreetNew York, NY 10065 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

17 suppliers38 claims98 services$6.59 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers33 claims50 services$1.08 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

9 suppliers110 claims110 services$189.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

SARAH YU MD

Obstetrics & Gynecology