Active NPI
Jack Albert McEnroe
- Behavior Technician
- Hauppauge, NY
National Provider Identifier
1720733918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 173 Windwatch Dr
Hauppauge, NY 11788-3353 - Phone
- (516) 672-5771
- NPI assigned
- Feb 16, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
173 Windwatch Dr
Hauppauge, NY 11788-3353
Mailing address
70 N Woodhull Rd Apt 1
Huntington, NY 11743-2858
Phone (516) 330-9753
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1720733918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N WOODHULL RD APT 1",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432858",
"telephone_number": "516-330-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 WINDWATCH DR",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883353",
"telephone_number": "516-672-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENROE",
"first_name": "JACK",
"middle_name": "ALBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-16",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.