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MANTIA MEDICAL ASSOCIATES
NPI 1477629400
Family Medicine in Smithtown, NY

Active since November 28, 2006
496 NESCONSET HIGHWAY, STE 200, SMITHTOWN, NY 11787(631) 265-9111 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Mantia Medical Associates NPPES

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

MANTIA MEDICAL ASSOCIATES (NPI 1477629400), doing business as 496 Nesconset Hwy Suite 200 Smithtown Ny 11787, is a healthcare organization registered as a family medicine in Smithtown, New York and active in the NPI registry since November 2006. The organization lists Augustus Mantia, Md, as its authorized official.

NPPES Registry Identity

NPI1477629400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANTIA MEDICAL ASSOCIATES
Location Address496 NESCONSET HIGHWAY, STE 200Smithtown, NY 11787
Mailing Address496 Nesconset Highway, Ste 200Smithtown, NY 11787 · (631) 265-9111
Phone(631) 265-9111
Organization SubpartNo
Authorized OfficialAugustus MantiaMd · (631) 265-9111
Enumeration DateNovember 28, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1477629400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 182606
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 094617 (NY), 124142 (NY)
496 NESCONSET HIGHWAY, Smithtown, NY 11787
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Other Names 1

Former Legal Business Name496 Nesconset Hwy Suite 200 Smithtown Ny 11787

Other Identifiers 3

Medicaid155862NY
Medicaid2785973NY
Medicaid1577013NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Mantia Medical Associates's NPI number?

The NPI number for Mantia Medical Associates is 1477629400. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider was formerly known as 496 Nesconset Hwy Suite 200 Smithtown NY 11787.

Where is Mantia Medical Associates located?

Mantia Medical Associates is located at 496 Nesconset Highway Ste 200, Smithtown, NY 11787. The listed phone number is (631) 265-9111.

What is Mantia Medical Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mantia Medical Associates was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.