Active NPI
Cory Hackmyer, DO
- Critical Care Medicine (Internal Medicine) Physician
- Atlantic City, NJ
National Provider Identifier
1811518954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 25MB12340600
- Practice address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - Phone
- (609) 449-4373
- Fax
- (609) 441-8178
- NPI assigned
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MB12340600 | NJ | Primary |
| Neurology Physician | 2084N0400X | OT019943 | PA |
Addresses
Primary practice location
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Mailing address
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 449-4373
Other practice location 1
1700 St Lukes Blvd Ofc
Easton, PA 18045-5670
Phone (484) 526-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT019943 | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1811518954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 PACIFIC AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084016713",
"telephone_number": "609-449-4373",
"fax_number": "609-441-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 PACIFIC AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084016713",
"telephone_number": "609-449-4373",
"fax_number": "609-441-8178"
}
],
"practiceLocations": [
{
"address_1": "1700 St Lukes Blvd Ofc",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180455670",
"country_code": "US",
"telephone_number": "484-526-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKMYER",
"first_name": "CORY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MB12340600",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "OT019943",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.