You need to add the value of socket path
to the config object:
socketPath: '/var/run/mysqld/mysqld.sock'
In MAMP, you go to http://localhost:8888/MAMP, and you find:
/Applications/MAMP/tmp/mysql/mysql.sock
At the end you have:
var connection = mysql.createConnection({
host : config.host,
user : config.user,
password : config.pass,
database : config.db,
socketPath: '/Applications/MAMP/tmp/mysql/mysql.sock'
});