| LCA CASE NUMBER | I-200-20344-944581 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-09 |
| DECISION DATE | 2020-12-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Certified Registered Nurse Anesthetist |
| SOC CODE | 29-1151.00 |
| SOC TITLE | Nurse Anesthetists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-01-31 |
| 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 | Summit Anesthesia Associates, P.A. |
| EMPLOYER ADDRESS1 | 68 South Service Road |
| EMPLOYER ADDRESS2 | Suite 350 |
| EMPLOYER CITY | Melville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11747 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15169453348 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Blumberg |
| EMPLOYER POC FIRST NAME | Sheryl |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources Service Delivery |
| EMPLOYER POC ADDRESS 1 | 68 South Service Road |
| EMPLOYER POC ADDRESS 2 | Suite 350 |
| EMPLOYER POC CITY | Melville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11747 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15169453348 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Overlook Medical Center |
| WORKSITE ADDRESS2 | 99 Beauvoir Avenue |
| LCA CASE WORKLOC1 CITY | Summit |
| WORKSITE COUNTY | UNION |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7901 |
| LCA CASE WAGE RATE FROM | 198889 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 173909 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | [email protected] |
