JERRY SAMEDI
NPI 1104784701
Orthopaedic Surgery - Sports Medicine in New York, NY
NPI Status: Active since January 12, 2026
Contact Information
48 WALL ST
NEW YORK, NY
ZIP 10005
Phone: (844) 425-8637
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
About JERRY SAMEDI
This page provides the complete NPI Profile along with additional information for Jerry Samedi, a provider established in New York, New York with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1104784701 assigned on January 2026. The practitioner's primary taxonomy code is 207XX0005X with license number 035317 (NY). The provider is registered as an individual and his NPI record was last updated February 2026. Jerry Samedi operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1104784701
- Provider Name
- JERRY SAMEDI
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 48 WALL ST NEW YORK, NY 10005
- Location Phone
- (844) 425-8637
- Mailing Address
- 301 E MAIN ST BAY SHORE, NY 11706
- Mailing Phone
- (613) 968-3000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-12-2026
- Last Update Date
- 02-25-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 035317
- License State
- NY
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104784701, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104784701, enumerated as an "individual" on January 12, 2026.
The provider is located at 48 WALL ST NEW YORK, NY 10005 and the phone number is (844) 425-8637.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
