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

Individual provider Family Medicine Physician · NPI 1427452465

Shideh Doroudi, MD is a Family Practice in Paterson, New Jersey. Qualified in 1996, 30 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2014
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

1020 Main St Ste C
Paterson, NJ 07503-2244
Phone: (862) 336-1200
Fax: (862) 236-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA09499400 (NJ)

Record details

NPI number1427452465
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 20, 2014
Last updated in NPPESOctober 20, 2014
Mailing address1020 Main St Ste C, Paterson, NJ 07503-2244

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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