NPIMap

Organization Active NPI

Anesco Interventional Pain Institute, LLC

  • Interventional Pain Medicine Physician
  • Margate, FL
National Provider Identifier
1932555745
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ANESCO INTERVENTIONAL PAIN INSTITUTE, LLC
Practice address
2825 N State Road 7 Ste 204
Margate, FL 33063-5737
Phone
(954) 580-4080
NPI assigned
May 11, 2016
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Mr. Robert Kolbert, M.D.
Title
Vice President
Phone
(954) 703-2933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

2825 N State Road 7 Ste 204
Margate, FL 33063-5737

Mailing address

PO Box 160805
Altamonte Springs, FL 32716-0805
Phone (954) 580-4084

National Provider Directory

National Provider Directory

Locations

1700 NW 64th St
Ste 700
Ft Lauderdale, FL 33309

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1932555745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160805",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160805",
            "telephone_number": "954-580-4084",
            "fax_number": "954-580-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7 STE 204",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-580-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESCO INTERVENTIONAL PAIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "KOLBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-703-2933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.