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

Justin Mello, PA

Individual provider Physician Assistant · NPI 1376926055

Justin Mello, PA is a Physician Assistant in Providence, Rhode Island. Licensed in Colorado and Rhode Island. Registered with an NPI since 2015.

Licensed in
CO, RI
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
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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 PA01914 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA.0004326 (CO)

Record details

NPI number1376926055
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address15 La Salle Sq, Providence, RI 02903-1814

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