Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremiah Carrol Edington, RPA-C

Individual provider Physician Assistant · NPI 1134405632

Jeremiah Carrol Edington, RPA-C is a Physician Assistant in Riverhead, New York. Qualified in 2011, 15 years ago. Practices with Wellnow Urgent Care, PC, a 411-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

1228 E Main St Ste C
Riverhead, NY 11901-2677
Phone: (631) 603-3400
Fax: (631) 603-3401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015287 (NY)

Record details

NPI number1134405632
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2011
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Wellnow Urgent Care, P.C. — 411 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Riverhead