Individual Healthcare Provider
Nelly Gavalakis, APN-C
Provider's NPPES record last updated: March 26, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1174577746
- Primary Specialty
- Nurse Practitioner — Pediatrics
- Practice Location
- Hackensack, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:03 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 20050002
- Nurse Practitioner (North Carolina)
- 5021153
Practice Locations
Practice Location
155 Polifly Rd Ste 112
Hackensack, New Jersey 07601-1749
Phone: (201) 996-8840
Additional Practice Location
40 N Merrimon Ave Ste 117
Asheville, North Carolina 28804-1368
Phone: (828) 348-8232
Record Information
- Enumeration Date
- May 19, 2006
- Provider's NPPES Record Last Updated
- March 26, 2025
- Certification Date
- March 26, 2025
- NPISignal NPPES Dataset
- August 2026
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Incorrect provider information
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