Organization Active NPI

Dac Medical PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • West Babylon, NY
National Provider Identifier
1982767752
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
185229 Issued in NY
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

Updated by the provider on Jun 16, 2026

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)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.