=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134038664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEXOME NEUROLOGY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2026
-----------------------------------------------------
Last Update Date | 09/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 153 NEEDHAM ST # 1000
-----------------------------------------------------
City | NEWTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02464-1537
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-521-0118
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 153 NEEDHAM STREET, 1000 27
-----------------------------------------------------
City | NEWTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02464-1537
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-521-0118
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN AND OWNER
-----------------------------------------------------
Name | DR. NEELIMA RANI THAKUR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 847-521-0118
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------