Individual provider Active NPI

Lawrence Joel Grill, M.D.

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1063443844
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD493378 Issued in PA
Practice address
500 Scott St
Wilkes Barre, PA 18702-5616
Phone
(570) 824-1700
Fax
(570) 824-1300
NPI assigned
Jul 6, 2006
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45971 NJ
Internal Medicine Physician 207R00000X MD493378 PA Primary

Addresses

Primary practice location

500 Scott St
Wilkes Barre, PA 18702-5616

Mailing address

500 Scott St
Wilkes Barre, PA 18702-5616
Phone (570) 824-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.grill1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000840 NJ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8022041862

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Oklahoma College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1166 River Ave
Lakewood, NJ 08701-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45971NJMDInternal Medicine Physician
MD493378PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Feb 20, 2018 Accepting new patients
Kimball Medical Center House Staff/Ekg Past Accepting new patients
Kimball Medical Center, Inc Internal Medicine Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Route 70
Ste 1
Lakewood, NJ 08701
Phone (732) 367-8272

700 Highway 71
Ste 9
Sea Girt, NJ 08750
Phone (732) 974-0340

300 W Water St
Fl 1
Toms River, NJ 08753

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: lawrence.grill@direct.hackensackmeridian.org
  • Direct secure messaging: lawrence.grill1@21771.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1063443844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025616",
            "telephone_number": "570-824-1700",
            "fax_number": "570-824-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187025616",
            "telephone_number": "570-824-1700",
            "fax_number": "570-824-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "LAWRENCE",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "45971",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD493378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.grill1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "500 Scott St",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187025616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.