Individual provider Active NPI

Maxime Cyprien

  • Emergency Registered Nurse
  • Middletown, NY
National Provider Identifier
1497000855
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
729824-01 Issued in NY
Practice address
19 Robertson Dr
Middletown, NY 10940-3020
Phone
(845) 300-7805
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10310610 NY
Emergency Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WE0003X 729824-01 NY Primary

Addresses

Primary practice location

19 Robertson Dr
Middletown, NY 10940-3020

Mailing address

19 Robertson Dr
Middletown, NY 10940-3020
Phone (845) 300-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
729824-01NYMDEmergency Registered Nurse
10310610NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1497000855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROBERTSON DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403020",
            "telephone_number": "845-300-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ROBERTSON DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403020",
            "telephone_number": "845-300-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYPRIEN",
        "first_name": "MAXIME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10310610",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "729824-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.