Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lackawanna Medical Group PC

Internal Medicine Physician in Scranton, PA · enumerated 2006 · authorized official Charles Grad, Business Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770650962

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Registry record

Entity type Organization (Type 2)

Legal business name Lackawanna Medical Group PC

Practice address 201 Smallacombe Dr, Scranton, PA, 18508

Phone (570) 961-0171

Fax (570) 207-2411

Enumeration date Nov 30, 2006

Last updated in NPPES Mar 3, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Charles Grad

Title Business Manager

Phone (570) 348-1130

Other identifiers

Identifier	Type	State	Issuer
000676727	Medicaid	PA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Lackawanna Medical Group PC located?

The practice location on file with NPPES is in Scranton, PA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-03-03. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-03.