Active NPI
Maxime Jacques Berube, M.D.
- Emergency Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 264771
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2342 - Phone
- (315) 464-5136
- NPI assigned
- Jan 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 264771 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | MD21338 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2342
Mailing address
750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-5540
Other practice location 1
111 Hospital Drive
Utica, NY 13502-4311
Phone (315) 917-9966
Other practice location 2
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
Other practice location 3
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cortland County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241
Interoperability endpoints
- mberube27926@mvhealthsystem.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1073386421
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1609816024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1396982591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102342",
"telephone_number": "315-464-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102342",
"telephone_number": "315-464-5136"
}
],
"practiceLocations": [
{
"address_1": "111 HOSPITAL DRIVE",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135024311",
"country_code": "US",
"telephone_number": "315-917-9966",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 High Service Ave",
"address_purpose": "LOCATION",
"city": "North Providence",
"state": "RI",
"postal_code": "029045113",
"country_code": "US",
"telephone_number": "401-456-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Chalkstone Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084728",
"country_code": "US",
"telephone_number": "401-456-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERUBE",
"first_name": "MAXIME",
"middle_name": "JACQUES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-11",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "264771",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD21338",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.