Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanna M Forlivio, PA

Individual provider Medical Physician Assistant · NPI 1780715979

Johanna M Forlivio, PA is a Physician Assistant in Poughkeepsie, New York. Qualified in 2006, 20 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

159 Barnegat Rd
Poughkeepsie, NY 12601
Phone: (845) 452-9800
Fax: (845) 452-7691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 — (845) 483-6559

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 011693 (NY)

Record details

NPI number1780715979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 24, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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