Individual Healthcare Provider
Jaime J Antunes, PA-C
Provider's NPPES record last updated: October 9, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164805768
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Waterbury, Connecticut
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 11:09 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X Radiologic Technologist
Radiography
Technologists, Technicians & Other Technical Service Providers
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
Taxonomy code 2471C3402X
Provider-Reported License Information
- Physician Assistant (Connecticut)
- 3370
- Radiologic Technologist (Connecticut)
- 6036
Practice Locations
Practice Location
56 Franklin St
Waterbury, Connecticut 06706-1253
Phone: (203) 709-6000
Additional Practice Location
84 N Main St
Branford, Connecticut 06405-3061
Phone: (203) 483-2509
Fax: (203) 483-2513
Additional Practice Location
2416 Whitney Ave Fl 1
Hamden, Connecticut 06518-3248
Phone: (203) 407-3550
Fax: (203) 407-4244
Additional Practice Location
235 Boston Post Rd
Orange, Connecticut 06477-3229
Phone: (203) 795-4784
Fax: (203) 799-1179
Record Information
- Enumeration Date
- July 1, 2015
- Provider's NPPES Record Last Updated
- October 9, 2024
- Certification Date
- October 9, 2024
- NPISignal NPPES Dataset
- August 2026
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