Organization Active NPI

Amavi Medical PLLC

  • Clinic/Center
  • Nyack, NY
National Provider Identifier
1841132065
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMAVI MEDICAL PLLC
Practice address
172A Main St
Nyack, NY 10960-2450
Phone
(917) 756-2312
Fax
(919) 443-1034
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Dr. Lynnea Villanova, MD
Title
Physician/Owner
Phone
(917) 756-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

172A Main St
Nyack, NY 10960-2450

Mailing address

172A Main St
Nyack, NY 10960-2450
Phone (917) 756-2312

National Provider Directory

National Provider Directory
Tax ID family
Amavi Medical PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

172 Main St
#A
Nyack, NY 10960
Phone (917) 756-2312

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1841132065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172A MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602450",
            "telephone_number": "917-756-2312",
            "fax_number": "919-443-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172A MAIN ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602450",
            "telephone_number": "917-756-2312",
            "fax_number": "919-443-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAVI MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "VILLANOVA",
        "authorized_official_first_name": "LYNNEA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "917-756-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.