MARISSA BUKOWSKI
NPI 1376480079
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since April 30, 2026
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marissa Bukowski NPPES

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

MARISSA BUKOWSKI (NPI 1376480079) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2026. The provider maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376480079
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMARISSA BUKOWSKI
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address6528 Marra LnCicero, NY 13039-7854
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
NPI 1376480079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
601 ELMWOOD AVE, Rochester, NY 14642

Secondary Practice Locations 2

Location 1350 Parrish StCanandaigua, NY 14424-1731 · Phone (585) 396-6000
Location 21000 South AveRochester, NY 14620-2733 · Phone (585) 341-6833

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.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Marissa Bukowski's NPI number?

The NPI number for Marissa Bukowski is 1376480079. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Marissa Bukowski located?

Marissa Bukowski practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Marissa Bukowski'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 Marissa Bukowski was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.