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

Suburban Life Extension Institute Inc

Organization Internal Medicine Physician · NPI 1922150838

Suburban Life Extension Institute Inc is an Internal Medicine Physician in Union, New Jersey. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 Morris Ave
Union, NJ 07083-4821
Phone: (908) 851-2500
Fax: (908) 851-0860
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1922150838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Digiacomo — President · (908) 851-2500
NPI enumeratedJanuary 18, 2007
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address2801 Morris Ave, Union, NJ 07083-4821

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