Dr. Jason Rizzo, M.D.
Dermatology, MOHS-Micrographic Surgery in Estero, FL. Individual provider (NPI-1).
NPI number1124446554
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1124446554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Rizzo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2014
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 296429-1 | NY | Yes |
| 207N00000X | Dermatology | 296429-1 | NY |
Practice location
23471 Walden Center Dr Ste 300Estero, FL 34134-5016
Phone 239-498-3376 · Fax 239-498-3379
Mailing address
23471 Walden Center Dr Ste 300Estero, FL 34134-5016
Phone 239-498-3376 · Fax 239-498-3379
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.