Amnon Faktor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D100854200 Issued in NJ

Practice address

16 Plaza 9
Manalapan, NJ 07726-3010

Phone

(732) 431-2080

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Amnon Faktor DDS & Dave I. Faktor DDS

  • General Practice Dentistry
  • Manalapan, NJ
  • NPI 1992723860
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861410839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 YATES RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268392",
            "telephone_number": "732-613-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PLAZA 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263010",
            "telephone_number": "732-431-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKTOR",
        "first_name": "AMNON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D100854200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everybodiesrx
• Exceptional Wellness Counseling, Inc.
• Executive Professional Outsourcing LLC
• Sulmeet Aaron Ezekiel, APN
• Lizabeta Fainman
• Derek J Faktor, DMD MBA
• Victoria Faljean, LPC, LPAT
• Susanna Falls
• Fam Dental, Inc
• Family PM LLC

• General Practice Dentistry in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.