DR. ANYANATE GWENDOLYNE JACK M.D., MPH
NPI 1952744104
Internal Medicine - Endocrinology, Diabetes & Metabolism in New York, NY
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Anyanate Jack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYPhysician 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.
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.
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.
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.
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 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..
Where is Anyanate Jack located?
Anyanate Jack practices at 211 E 80th St Fl 2, New York, NY 10075. The listed phone number is (646) 962-8690.
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.
Is Anyanate Jack enrolled in Medicare?
Yes. Anyanate Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Anyanate Jack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anyanate Jack reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anyanate Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Anyanate Jack affiliated with any hospitals?
According to CMS data, Anyanate Jack is affiliated with New York-Presbyterian Hospital.
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.
# Dr. Anyanate Gwendolyne Jack, M.D., MPH · NPI 1952744104
Endocrinology, Diabetes & Metabolism physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 8, 2013.
## Identity
- **NPI:** 1952744104 (Entity type: Individual)
- **Enumerated:** April 8, 2013
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 2928521 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 E 80TH ST FL 2, New York, NY 10075
- **Phone:** (646) 962-8690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Weill Medical College Of Cornell (NPI 1417071945, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2013
## Record status
- **NPPES last updated:** July 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1952744104) · Data from the CMS NPPES public registry.