SALLY MINNIEFIELD
NPI 1629499199
Physician Assistant - Medical in Suffern, NY

Active since December 30, 2013
2 EXECUTIVE BLVD, SUITE 202, SUFFERN, NY 10901(845) 368-4700 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Minniefield NPPES

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

SALLY MINNIEFIELD (NPI 1629499199) is an individual medical provider in Suffern, New York, licensed in New York (002383) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1629499199
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSALLY MINNIEFIELD
Location Address2 EXECUTIVE BLVD, SUITE 202Suffern, NY 10901-4164
Mailing Address2 Executive Blvd, Suite 202Suffern, NY 10901-4164 · (845) 368-4700
Sole ProprietorNo
Enumeration DateDecember 30, 2013
NPI 1629499199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 002383
2 EXECUTIVE BLVD, Suffern, NY 10901

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2 EXECUTIVE BLVD, SUITE 404
SUFFERN, NY 10901
Dentist (General Practice)
2 EXECUTIVE BLVD, SUITE 206
SUFFERN, NY 10901
Dentist (General Practice)
2 EXECUTIVE BLVD, SUITE 304
SUFFERN, NY 10901
Clinical Medical Laboratory
2 EXECUTIVE BLVD, SUITE 102
SUFFERN, NY 10901
Dietitian, Registered (Nutrition, Renal)
2 EXECUTIVE BLVD, STE 203
SUFFERN, NY 10901
Specialist
2 EXECUTIVE BLVD, SUITE 306
SUFFERN, NY 10901
Acupuncturist
2 EXECUTIVE BLVD, SUITE 202
SUFFERN, NY 10901
Dietitian, Registered
2 EXECUTIVE BLVD, STE 203
SUFFERN, NY 10901

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 Sally Minniefield's NPI number?

The NPI number for Sally Minniefield is 1629499199. It was assigned to this individual provider in the NPPES registry on December 30, 2013.

Where is Sally Minniefield located?

Sally Minniefield practices at 2 Executive Blvd Suite 202, Suffern, NY 10901. The listed phone number is (845) 368-4700.

What is Sally Minniefield's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sally Minniefield was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.