Organization Active NPI

Precision Neurology Associates PLLC

  • Neurology Physician
  • Providence, RI
National Provider Identifier
1053101238
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PRECISION NEUROLOGY ASSOCIATES PLLC
Practice address
2 Dudley St Ste 2
Providence, RI 02905-3236
Phone
(781) 352-4777
Fax
(781) 352-4778
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Anthony Carl Rodrigues, MDNPI 1740613371
Title
Authorized Official
Phone
(781) 352-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X
Epilepsy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084E0001X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X

Addresses

Primary practice location

2 Dudley St Ste 2
Providence, RI 02905-3236

Mailing address

115 Norwood Park S Ste 106
Norwood, MA 02062-4633
Phone (781) 352-4777

Other practice location 1

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 352-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250626000221 MA Part B Supplier - Clinic/Group Practice 3375055122 Receives reassigned benefits from 3 practitioners
Practice locations: North Billerica, MA; Norwood, MA; Westwood, MA
O20250813001382 RI Part B Supplier - Clinic/Group Practice 3375055122 Receives reassigned benefits from 3 practitioners
Practice locations: Providence, RI; Lincoln, RI
O20250825000357 NH Part B Supplier - Clinic/Group Practice 3375055122 Receives reassigned benefits from 1 practitioner
Practice locations: West Lebanon, NH

National Provider Directory

National Provider Directory

Locations

115 Norwood Park S
Ste 106
Norwood, MA 02062
Phone (347) 805-4641

2 Dudley St
Ste 2
Providence, RI 02905
Phone (347) 805-4641

1 Regency Plz
Apt 1211R
Providence, RI 02903

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJBJDD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1053101238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NORWOOD PARK S STE 106",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624633",
            "telephone_number": "781-352-4777",
            "fax_number": "781-352-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "781-352-4777",
            "fax_number": "781-352-4778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Norwood Park S",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020624633",
            "country_code": "US",
            "telephone_number": "781-352-4777",
            "fax_number": "781-352-4778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION NEUROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "781-352-4777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.