Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wagner Mello Primary Care LLC

Organization Primary Care Nurse Practitioner · NPI 1568171882

Wagner Mello Primary Care LLC is a Primary Care Nurse Practitioner in Rockville Centre, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

450 Sunrise Hwy
Rockville Centre, NY 11570-5053
Phone: (631) 404-7073
Fax: (631) 751-8298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1568171882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wagner Mello — Owner · (631) 404-7073
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address610 W 150th St Apt 3g, New York, NY 10031-2414

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