Liam J Bova, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

345017-01 Issued in NY

Practice address

41 Page Park Dr
Poughkeepsie, NY 12603-7500

Phone

(845) 486-2850

Fax

(845) 486-2770

NPI assigned

Jan 24, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Poughkeepsie, NY
  • NPI 1154691368
  NPD

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1568274728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MONTFORT RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125903517",
            "telephone_number": "845-793-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PAGE PARK DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037500",
            "telephone_number": "845-486-2850",
            "fax_number": "845-486-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVA",
        "first_name": "LIAM",
        "middle_name": "J",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "345017-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonnel Boston
• Lisa Bou, C.R.N.A.
• Mark Boujikian, LMHC
• Angela Bova, DDS
• Debra Ann Bova, REGISTERED PROFESSIO
• Collett T Bowen, LPN
• Kimberly Bowles, OTR
• Martha Jane Boyko, LMSW
• Joshua Brace
• Nathalie Bradford, LPN

• Licensed Practical Nurse in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.