Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eugene John Sidoti Jr., MD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1316958945

Dr. Eugene John Sidoti Jr., MD is a Plastic and Reconstructive Surgery in Phoenix, Arizona. Graduated from Albert Einstein College of Medicine of Yeshiva University in 1987, 39 years ago. Practices with District Medical Group Inc, a 450-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
39
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
AZ, NY
In the registry since
2006
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Fax: (602) 344-5596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 688 Post Rd Ste 220, Scarsdale, NY 10583-5015 — (914) 472-7200

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 59440 (AZ)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 175407 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 175407 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 59440 (AZ)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 175407 (NY)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 59440 (AZ)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 175407 (NY)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 59440 (AZ)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 175407 (NY)

Record details

NPI number1316958945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESNovember 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 1987 (39 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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