Active NPI
Dac Medical PC
- Neuromusculoskeletal Medicine & OMM Physician
- West Babylon, NY
National Provider Identifier
1982767752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 185229
- Legal business name
- DAC MEDICAL PC
- Practice address
- 422 Great East Neck Rd Unit C
West Babylon, NY 11704-7628 - Phone
- (631) 661-6611
- Fax
- (631) 661-5504
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Mosomillo, NMOMM
- Title
- Medical Director
- Phone
- (631) 661-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 185229 | NY | Primary |
Addresses
Primary practice location
422 Great East Neck Rd Unit C
West Babylon, NY 11704-7628
Mailing address
422 Great East Neck Rd Unit C
West Babylon, NY 11704-7628
Phone (631) 661-6611
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1982767752",
"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": {
"organization_name": "DAC MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "MOSOMILLO",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "631-661-6611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NMOMM"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "185229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Babylon, NY
Sources for this page
- 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.