National Provider Identifier
John J Novotny, MD
John J Novotny, MD is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician in Elmira, NY and a listed phone number of (607) 734-4110.
Profile Overview
- NPI
- 1164983250
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Enumeration Date
- March 29, 2019
- Last Updated
- April 16, 2025
Practice Location
- 200 Madison Ave Ste 1A
- Elmira, NY 14901-3219
Phone: (607) 734-4110
Mailing Address
- 600 Ivy St Ste 206
- Elmira, NY 14905-1627
Specialties
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1164983250
- Entity Type
- Individual
- Last Name
- Novotny
- First Name
- John
- Middle Name
- J
- Credential
- MD
- Mailing Street Address
- 600 Ivy St Ste 206
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-1627
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2071
- Practice Street Address
- 200 Madison Ave Ste 1A
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3219
- Practice Country
- US
- Practice Phone
- (607) 734-4110
- Practice Fax
- (607) 733-3357
- Enumeration Date
- March 29, 2019
- Last Updated
- April 16, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), Pediatrics Physician (208000000X)
- Other Identifiers
- 0490612 (OH)