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 provides Primary Care Nurse Practitioner services 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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