Individual provider Active NPI

Matthew J Tresoline

  • Dental Hygienist
  • Utica, NY
National Provider Identifier
1679301873
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Practice address
3 Parkside CT BLDG 1
Utica, NY 13501-5643
Phone
(315) 927-0000
NPI assigned
Jul 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Primary

Addresses

Primary practice location

3 Parkside CT BLDG 1
Utica, NY 13501-5643

Mailing address

7301 Stearns Rd
Rome, NY 13440-0550
Phone (315) 617-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Health Inc CurrentSince Nov 18, 2025 Accepting new patients

Locations

1 S Washington St
Ste 300
Rochester, NY 14614
Phone (585) 325-2280

3 Parkside Ct
Bldg 1
Utica, NY 13501
Phone (315) 927-0000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJGHBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1679301873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 STEARNS RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134400550",
            "telephone_number": "315-617-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT BLDG 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015643",
            "telephone_number": "315-927-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESOLINE",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.