Timothy John Mosomillo, D.O., N.M.M.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

185229 Issued in NY

Practice address

422 Great East Neck Rd Unit C
West Babylon, NY 11704-7628

Phone

(631) 661-6611

Fax

(631) 661-5504

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1619900867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GREAT EAST NECK RD UNIT C",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047628",
            "telephone_number": "631-661-6611",
            "fax_number": "631-661-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 GREAT EAST NECK RD UNIT C",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047628",
            "telephone_number": "631-661-6611",
            "fax_number": "631-661-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSOMILLO",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O., N.M.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "185229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalia Moralejo
• Lisa Morello
• Bessi Moreno, B.A.
• Dana Moscioni, LCAT, ATR-BC
• David Malcomb Moses Jr., LPN
• Regina Mott, REGISTERED NURSE
• Kirsy Moya
• Christine Alisa Mulle
• Lauren Anne Mulligan
• Maninder Kaur Multani, FNP-BC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.