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

Theodore Novotny, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1477639003

Theodore Novotny, CRNA is registered under 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 Not confirmed with CMS for 17 years — call before visiting
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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients112
Services billed 112 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Icahn School of Medicine at Mount Sinai

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 171 clinicians in the practice; 12 are shown here.

Other providers in New York