Genesis Revitalization Group

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

GENESIS REVITALIZATION GROUP

Practice address

16 S Rhode Island Ave FL 2
Atlantic City, NJ 08401-7759

Phone

(609) 335-7373

NPI assigned

Jan 5, 2026

Last updated

Jun 30, 2026By 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

Dr. Frank McCoy Gilliam Jr., PHD

Title

Reginal Administrator

Phone

(609) 892-7681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1366308231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S RHODE ISLAND AVE FL 2",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017759",
            "telephone_number": "609-335-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S RHODE ISLAND AVE FL 2",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017759",
            "telephone_number": "609-335-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REVITALIZATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "MCCOY",
        "authorized_official_title_or_position": "REGINAL ADMINISTRATOR",
        "authorized_official_telephone_number": "609-892-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Gallo Macrie, LPN
• Devon Garland
• Paulina Gastelum, LCSW
• Michael Anthony Gault Jr., PHARMD
• General Healthcareresorces,Inc
• Tarek Ghoneim, RPH
• Chris R Giamporcaro, MD
• Steven J Giamporcaro, MD
• Raymond Daniel Giannascoli Jr.
• Victoria Giorno, PA

• Day Training/Habilitation Specialist in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Day Training/Habilitation Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.