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

Individual provider Certified Registered Nurse Anesthetist · NPI 1477639003

Theodore Novotny, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 1998, 28 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 171-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

310 E 14th St Ny Eye & Ear Infirmary
New York, NY 10003-4201
Phone: (212) 979-4000
Fax: (845) 790-2675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 532977-1 (NY)

Record details

NPI number1477639003
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESDecember 16, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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