| LCA CASE NUMBER | I-200-20090-444308 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-30 |
| DECISION DATE | 2020-04-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-01 |
| END DATE | 2023-04-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Saint Peter's University Hospital |
| TRADE NAME DBA | 221487330 |
| EMPLOYER ADDRESS1 | 254 Easton Avenue |
| EMPLOYER CITY | New Brunswick |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17327458600 |
| EMPLOYER PHONE EXT | 6278.0 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Reid |
| EMPLOYER POC FIRST NAME | Angella |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS1 | 123 How Lane |
| EMPLOYER POC CITY | New Brunswick |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17327458600 |
| EMPLOYER POC PHONE EXT | 6278.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Pollins |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Goldblum and Pollins, PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 123 How Lane |
| LCA CASE WORKLOC1 CITY | New Brunswick |
| WORKSITE COUNTY | MIDDLESEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 8901 |
| LCA CASE WAGE RATE FROM | 160000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98613.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
