Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alexander Jorg Walle, MDPHD

Individual provider Internal Medicine Physician · NPI 1134154792

Dr. Alexander Jorg Walle, MDPHD is an Internal Medicine in Ozone Park, New York. Qualified in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
53
Licensed in
NY
In the registry since
2006

Practice location Address checks out

13223 79th St
Ozone Park, NY 11417-1137
Phone: (718) 456-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 162148 (NY)

Record details

NPI number1134154792
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ozone Park