Suburban Life Extension Institute Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUBURBAN LIFE EXTENSION INSTITUTE INC

Practice address

2801 Morris Ave
Union, NJ 07083-4821

Phone

(908) 851-2500

Fax

(908) 851-0860

NPI assigned

Jan 18, 2007

Last updated

Mar 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Arthur Digiacomo, M.D.,F.A.C.P.NPI 1184672172

Title

President

Phone

(908) 851-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Arthur Digiacomo, M.D.,F.A.C.P.

  • Internal Medicine Physician
  • Union, NJ
  • NPI 1184672172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1922150838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834821",
            "telephone_number": "908-851-2500",
            "fax_number": "908-851-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834821",
            "telephone_number": "908-851-2500",
            "fax_number": "908-851-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN LIFE EXTENSION INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "DIGIACOMO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-851-2500",
        "authorized_official_credential": "M.D.,F.A.C.P."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Simone Andrea Straw, MD
• Lauren Michelle Strober, PSY.D.
• Alexander Jonathan Strzalkowski, MD
• Suburban Heart Group, PA
• Suburban Treatment Associates
• Suburban Treatment Associates
• Meher Sultana, MD
• Summit Medical Group PA (CityMD)
• Hadeel Sumrein

• Internal Medicine Physician in Union, NJ
• Providers in Union, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.