Lackawanna Valley Dermatology Associates Limited
NPI 1982791117 · Dermatology Physician · Scranton, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lackawanna Valley Dermatology Associates Limited is a Dermatology Physician organization in Scranton, PA (NPI 1982791117).
Provider details
- NPI number
- 1982791117
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregg Severs, Secretary(570) 961-5522
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2015-02-26
Frequently asked questions
- What is Lackawanna Valley Dermatology Associates Limited's NPI number?
- Lackawanna Valley Dermatology Associates Limited's National Provider Identifier (NPI) is 1982791117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lackawanna Valley Dermatology Associates Limited?
- Lackawanna Valley Dermatology Associates Limited is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Lackawanna Valley Dermatology Associates Limited located?
- Lackawanna Valley Dermatology Associates Limited's practice location on file with NPPES is 327 N Washington Ave, Scranton, PA 18503-1549.
- What is Lackawanna Valley Dermatology Associates Limited's phone number?
- The practice phone number listed in the NPPES registry for Lackawanna Valley Dermatology Associates Limited is (570) 961-5522.
- Does Lackawanna Valley Dermatology Associates Limited accept Medicare?
- Lackawanna Valley Dermatology Associates Limited is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lackawanna Valley Dermatology Associates Limited?
- The authorized official listed on Lackawanna Valley Dermatology Associates Limited's NPPES record is Gregg Severs, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lackawanna Valley Dermatology Associates Limited's NPI active?
- Yes — Lackawanna Valley Dermatology Associates Limited's NPI (1982791117) is active in the NPPES registry as of the last update on 2015-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.