Derek J Faktor, DMD MBA

Primary specialty

DentistTaxonomy code 122300000X

License

050923 Issued in NY

Practice address

16 Plaza 9
Manalapan, NJ 07726-3010

Phone

(732) 431-2080

NPI assigned

Jul 26, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Credentials

Master of Business Administration

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942223227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 56TH ST APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223744",
            "telephone_number": "732-718-1063"
        },
        {
            "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": "DEREK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050923",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI021520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exceptional Wellness Counseling, Inc.
• Executive Professional Outsourcing LLC
• Sulmeet Aaron Ezekiel, APN
• Lizabeta Fainman
• Amnon Faktor, DDS
• Victoria Faljean, LPC, LPAT
• Susanna Falls
• Fam Dental, Inc
• Family PM LLC
• Family Wellness and Rehab

• Dentist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.