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Active NPI 1174577746 Individual Practitioner Female Practitioner

Nelly Gavalakis , APN-C

Nurse Practitioner - Pediatrics • Hackensack, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nelly Gavalakis, APN-C is a certified Nurse Practitioner - Pediatrics practicing in Hackensack, NJ. With approximately 22 years of clinical experience since completing medical education in 2004, Nelly Gavalakis delivers high-quality medical care to the local community at 155 POLIFLY RD STE 112.

Nelly Gavalakis is affiliated with Hackensack Meridian Health Medical Group - Complex Care Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

155 Polifly Rd Ste 112

Hackensack, NJ 076011749

Telephone 2019968840
Fax 2014419949

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Hackensack, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +11.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
32 Specialists

Practicing in Hackensack, NJ (495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gavalakis (22 Years) 22 Yrs
Hackensack Specialty Average (10.5 Years) 10.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-26
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NJ 20050002

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License NC 5021153

Definition to come...

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Complex Care Pc

516 Lawrie St, Perth Amboy, NJ 088613046

Phone: 7328977944

Secondary Practice Locations

40 N Merrimon Ave Ste 117

Asheville, NC 288041368

Phone: 8283488232

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Tracie Wong , MD

Pediatrics - Pediatric Gastroenterology

NPI 1619185675

Doctor of Medicine (M.D.)

Melissa Leyva

Pediatrics - Pediatric Gastroenterology

NPI 1689734055
NPI 1730531088

Certified Pediatric Nurse Practitioner, Registered Nurse, Bachelor of Science in Nursing

Dr. Wendy Jeshion , MD

Pediatrics - Pediatric Gastroenterology

NPI 1851338644

Doctor of Medicine (M.D.)

Dr. Elaine Moustafellos , MD

Pediatrics - Pediatric Gastroenterology

NPI 1962449207

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 26, 2025

Registered at 155 POLIFLY RD STE 112, HACKENSACK, NJ 076011749 (Tel: 2019968840)

📍
Updated Business Mailing Address March 26, 2025

Registered at 216 RAINBOW TER, BLACK MOUNTAIN, NC 287118439 (Tel: 9177577261)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2025

Nurse Practitioner (License #5021153 in NC)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 360 ESSEX ST, SUITE 402, HACKENSACK, NJ 076018550 (Tel: 2019962000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 237 W OAK ST, RAMSEY, NJ 074462125

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as NELLY GAVALAKIS, APN-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #20050002 in NJ)

🟢
Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174577746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: March 26, 2025
Sole Proprietor: No

Mailing Address

216 Rainbow Ter

Black Mountain, NC 287118439

Phone: 9177577261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.