JERRY SAMEDI
NPI 1104784701
Orthopaedic Surgery - Sports Medicine in New York, NY

Active since January 12, 2026
48 WALL ST, NEW YORK, NY 10005(844) 425-8637 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Jerry Samedi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY SAMEDI (NPI 1104784701) is an individual sports medicine provider in New York, New York, licensed in New York (035317) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1104784701
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJERRY SAMEDI
Location Address48 WALL STNew York, NY 10005-2903
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (613) 968-3000
Sole ProprietorYes
Enumeration DateJanuary 12, 2026
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
NPI 1104784701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in NY · 035317
Definition
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.
48 WALL ST, New York, NY 10005

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
48 WALL ST
NEW YORK, NY 10005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Samedi's NPI number?

The NPI number for Jerry Samedi is 1104784701. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Jerry Samedi located?

Jerry Samedi practices at 48 Wall St, New York, NY 10005. The listed phone number is (844) 425-8637.

What is Jerry Samedi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Jerry Samedi was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.