Medford Adhc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MEDFORD ADHC

Practice address

101 Mystic Ave
Medford, MA 02155-4628

Phone

(617) 839-8299

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Gennadiy Itskin

Title

Owner

Phone

(617) 839-8299

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1932566056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MYSTIC AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554628",
            "telephone_number": "617-839-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MYSTIC AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554628",
            "telephone_number": "617-839-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "ITSKIN",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-839-8299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah McLucas, PA
• Susan McNamara, LICSW
• Richard Mason McNeer III, MD
• Eliza Schwartz Meade, MD
• Lauri Day Mederios
• Medford Armory Dental P.C.
• Medford Clinical Laboratories
• Medford Dental Associates, LLC
• Medford Dental Wellness Center, PC
• Medford Endodontics, LLC

• Adult Day Care Clinic/Center in Medford, MA
• Providers in Medford, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.