Individual provider Active NPI

Jonathan Diment Eckel Jr., PA-C

  • Physician Assistant
  • Westerly, RI
National Provider Identifier
1043133457
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01959 Issued in RI
Practice address
17 Wells St Ste 201
Westerly, RI 02891-2923
Phone
(401) 596-2033
Fax
(401) 596-9294
NPI assigned
Aug 3, 2026
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01959 RI Primary
Medical Physician Assistant 363AM0700X PA01959 RI
Surgical Physician Assistant 363AS0400X PA01959 RI

Addresses

Primary practice location

17 Wells St Ste 201
Westerly, RI 02891-2923

Mailing address

17 Wells St Ste 201
Westerly, RI 02891-2923
Phone (401) 596-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Westerly, LTD. CurrentSince Aug 17, 2026 Accepting new patients

Locations

17 Wells St
Ste 201
Westerly, RI 02891
Phone (401) 596-2033

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1043133457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WELLS ST STE 201",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912923",
            "telephone_number": "401-596-2033",
            "fax_number": "401-596-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WELLS ST STE 201",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912923",
            "telephone_number": "401-596-2033",
            "fax_number": "401-596-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKEL",
        "first_name": "JONATHAN",
        "middle_name": "DIMENT",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01959",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA01959",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA01959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.