# AUREVIA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568338663
- **Authorized official:** DR. LYNNEA VILLANOVA MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (917) 756-2312

## Contact information

- **Practice address:** 640 PARK AVE, HOBOKEN, NJ 07030-4176
- **Practice address phone:** (201) 275-3698
- **Practice address fax:** (919) 443-1034
- **Mailing address:** 140 BERKELEY PL APT 1, BROOKLYN, NY 11217-3968
- **Mailing address phone:** (917) 756-2312
- **Mailing address fax:** (919) 443-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 10/15/2025
