Theodore Novotny, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

532977-1 Issued in NY

Practice address

310 E 14TH St
Ny Eye & Ear Infirmary
New York, NY 10003-4201

Phone

(212) 979-4000

Fax

(845) 790-2675

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 4385924091, 169 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Icahn School of Medicine at Mount Sinai

  • Anesthesiology Physician
  • New York, NY
  • NPI 1447008446

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Suffolk Anesthesiology Associates, PC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1194826420
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York Eye & Ear Infirmary

  • Special Hospital
  • New York City, NY
  • NPI 1245251222
  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1477639003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE ST",
            "address_2": "P O BOX 550",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013100",
            "telephone_number": "866-868-8415",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "address_2": "NY EYE & EAR INFIRMARY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-979-4000",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "THEODORE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "532977-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Cristina Novoa Diaz
• Anna Alexia Novogratz
• Amory Vedran Novoselac, M.D.
• Yelizaveta Lvovna Novoselsky, MD PEDIATRICIAN
• Aleyda Martinez Novotny, LCSW
• Jafar Novruzov, PMHNP-BC
• Polat Novruzov, MD
• Klaudia Maria Nowak-Capobianco
• Anna Nowak-Wegrzyn, M.D.
• Eugene John Nowak, M.D,

• Certified Registered Nurse Anesthetist in New York, NY
• Providers in New York, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.