Organization Active NPI

Kavanah Medical PLLC

  • Health Service Clinic/Center
  • New City, NY
National Provider Identifier
1750245916
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KAVANAH MEDICAL PLLC
Practice address
3 E Evergreen Rd Ste 101-213
New City, NY 10956-5145
Phone
(646) 854-8839
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dr. Jonathan Plaut, MDNPI 1245647015
Title
Managing Member
Phone
(646) 854-8839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3 E Evergreen Rd Ste 101-213
New City, NY 10956-5145

Mailing address

3 E Evergreen Rd Ste 101-213
New City, NY 10956-5145

National Provider Directory

National Provider Directory

Locations

3 E Evergreen Rd
Ste 101213
New City, NY 10956
Phone (646) 854-8839

Practitioners & affiliated clinicians

Practitioners 1

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": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1750245916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD STE 101-213",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD STE 101-213",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565145",
            "telephone_number": "646-854-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANAH MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "PLAUT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-854-8839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.