MARISSA M. VANBODEN – NPI #1063353951
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

MARISSA VANBODEN is a technologist located in SYRACUSE, NY. NPPES recently assigned the NPI number 1063353951 to MARISSA VANBODEN on April 03, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246Z00000X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARISSA VANBODEN below.

NPI Profile for
MARISSA M. VANBODEN

NPI Number
1063353951
Enumeration Date

(about 2 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARISSA M. VANBODEN
Primary location
218 LUDDINGTON ST
SYRACUSE, NY 13206-3161
Phone: (315) 313-4326 Fax:
1 Other location(s):
218 Luddington St
Syracuse, NY 13206-3161
Phone: (315) 313-4326
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246Z00000X
- Specialist/Technologist, Other (Primary)
NY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.