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

Jerry Samedi

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1104784701

Jerry Samedi is a Sports Medicine (Orthopaedic Surgery) Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

48 Wall St
New York, NY 10005-2903
Phone: (844) 425-8637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 035317 (NY)

Record details

NPI number1104784701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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