JOHANNA M FORLIVIO PA
NPI 1780715979
Physician Assistant - Medical in Poughkeepsie, NY

Q: What is Johanna Forlivio's NPI number?

The NPI number for Johanna Forlivio is 1780715979. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Johanna Forlivio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Forlivio was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment

159 BARNEGAT RD, POUGHKEEPSIE, NY 12601(845) 452-9800(845) 452-7691 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2018, Mar 17, 2018 (2 updates tracked since 2018).

On this page

About Johanna M Forlivio Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA M FORLIVIO PA (NPI 1780715979) is an individual medical provider in Poughkeepsie, New York, licensed in New York (011693) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Poughkeepsie, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1780715979

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJOHANNA M FORLIVIOCredential: PA

Location Address159 BARNEGAT RDPoughkeepsie, NY 12601

Mailing Address111 Clock Tower CmnsBrewster, NY 10509-4055 · (845) 592-4915

Phone(845) 452-9800

Fax(845) 452-7691

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 8, 2007

Last NPPES UpdateJuly 24, 20182 updates tracked since enumeration

✔ NPI 1780715979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 011693

159 BARNEGAT RD, Poughkeepsie, NY 12601

Open in Google Maps ↗

Secondary Practice Location 1

Location 145 Reade PlPoughkeepsie, NY 12601-3947 · Phone (845) 483-6559 · Fax (845) 483-6108

Other Identifiers 1

Medicaid02959171NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johanna M Forlivio Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456436989

PECOS Enrollment IDI20080308000035

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

108 services98 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services70 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

19 services19 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

17 services17 patients

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN MEDICAL GROUP PLLC

Clinic/Center (Urgent Care)