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JACK BORUCKI
NPI 1083464549
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 26, 2024
1 DEACONESS RD, BOSTON, MA 02215(617) 754-2400 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Borucki NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BORUCKI (NPI 1083464549) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1083464549
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK BORUCKI
Location Address1 DEACONESS RDBoston, MA 02215-5321
Mailing Address1 Deaconess RdBoston, MA 02215-5321
Phone(617) 754-2400
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1083464549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 DEACONESS RD, Boston, MA 02215
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC ANDREW WONG M.D.
Emergency Medicine
1 DEACONESS RD, WEST CC2
BOSTON, MA 02215
Suffolk County (617) 754-2339
ALON DAGAN M.D.
Emergency Medicine
1 DEACONESS RD, WEST CLINICAL CENTER 2
BOSTON, MA 02215
Suffolk County (617) 754-2339
DAVID WILLIAM SCHOENFELD M.D.
Student in an Organized Health Care Education/Training Program
1 DEACONESS RD, W-CC2 DEPARTMENT OF EMERGENCY MEDICINE
BOSTON, MA 02215
Suffolk County (617) 754-2339
DR. BRETT A SYLVIA M.D.
Emergency Medicine
1 DEACONESS RD, DEPT OF EMERGENCY MEDICINE, WEST-CC2
BOSTON, MA 02215
Suffolk County (617) 754-2339
ELLA AVEDIKIAN LCSW
Social Worker (Clinical)
1 DEACONESS RD
BOSTON, MA 02215
Suffolk County (617) 667-7000
LESLIE BILELLO
Emergency Medicine
1 DEACONESS RD
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. CHRISTIE FRITZ MD
Emergency Medicine
1 DEACONESS RD, W-CC2
BOSTON, MA 02215
Suffolk County (617) 667-7000
KATHRYN RODRIGUEZ LUPEZ M.D.
Emergency Medicine
1 DEACONESS RD
BOSTON, MA 02215
Suffolk County (617) 667-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Borucki's NPI number?

The NPI number for Jack Borucki is 1083464549. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Jack Borucki located?

Jack Borucki practices at 1 Deaconess Rd, Boston, MA 02215. The listed phone number is (617) 754-2400.

What is Jack Borucki's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Borucki was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.