MANTIA MEDICAL ASSOCIATES – NPI #1477629400
Family Medicine

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.

MANTIA MEDICAL ASSOCIATES is a provider located in SMITHTOWN, NY. NPPES has assigned the NPI number 1477629400 to MANTIA MEDICAL ASSOCIATES on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANTIA MEDICAL ASSOCIATES below.

NPI Profile for
MANTIA MEDICAL ASSOCIATES

NPI Number
1477629400
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANTIA MEDICAL ASSOCIATES
Primary location
496 NESCONSET HIGHWAY
STE 200
SMITHTOWN, NY 11787
Phone: (631) 265-9111 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AUGUSTUS MANTIA
MD
Phone: (631) 265-9111
Updated
Identifiers

Identifiers for MANTIA MEDICAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY155862
medicaidNY1577013
medicaidNY2785973
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NY 182606
207R00000X
- Internal Medicine
NY 094617

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.