Healthcare Provider Details

I. General information

NPI: 1134038664
Provider Name (Legal Business Name): NEXOME NEUROLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 NEEDHAM ST # 1000
NEWTON MA
02464-1537
US

IV. Provider business mailing address

153 NEEDHAM STREET, 1000 27
NEWTON MA
02464-1537
US

V. Phone/Fax

Practice location:
  • Phone: 847-521-0118
  • Fax:
Mailing address:
  • Phone: 847-521-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NEELIMA RANI THAKUR
Title or Position: PHYSICIAN AND OWNER
Credential: MD
Phone: 847-521-0118