Neelam M. Thacker, M.D.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NEELAM M. THACKER, M.D.

Practice address

101 Main St
#210
Medford, MA 02155-4540

Phone

(781) 396-8100

Fax

(781) 391-9929

NPI assigned

Mar 29, 2013

Last updated

Mar 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Neelam M Thacker, M.D.NPI 1790832822

Title

M.D.

Phone

(781) 396-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neelam Thacker, M.D.

  • Obstetrics & Gynecology Physician
  • Medford, MA
  • NPI 1790832822
  NPD (past) Authorized official
• Vasant Mukund Thacker, MD

  • Obstetrics & Gynecology Physician
  • Medford, MA
  • NPI 1679611461
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1942543764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "#210",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554540",
            "telephone_number": "781-396-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "#210",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554540",
            "telephone_number": "781-396-8100",
            "fax_number": "781-391-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELAM M. THACKER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "781-396-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI #",
            "identifier": "1790832822",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalsang Tenzin Nangpa
• Maria Nappa, NP
• Nationwide Home Care Services LLC
• Annette Kay Nedeljkovic, P.T.
• Teresa Needham, MA
• Phillips Edmund Nelson, OTR
• Doreen Neptune-Hammond, MD
• Sonia Nerteley Nettey
• Neuromonitoring Specialists LLC
• New England Sound LLC (Miracle Ear)

• Medical Specialty Clinic/Center in Medford, MA
• Providers in Medford, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.