Individual provider · Type 1 NPI

Jerry Samedi

Sports Medicine (Orthopaedic Surgery) Physician · New York, NY

NPI number 1104784701 Active

Practice location

48 Wall St
New York, NY 10005-2903

Mailing address

301 E Main St
Bay Shore, NY 11706-8408

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X035317 (NY)

Sports Medicine (Orthopaedic Surgery) Physician: 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 te…

Another provider at this address

Other sports medicine (orthopaedic surgery) physician providers in New York

See all in New York →

About NPI 1104784701

Jerry Samedi's National Provider Identifier is 1104784701, issued on Jan 12, 2026. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in New York, NY. The record was last updated on Feb 25, 2026.