| LCA CASE NUMBER | I-200-21217-505103 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-05 |
| DECISION DATE | 2021-08-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mehul Shah, MDPA |
| EMPLOYER ADDRESS1 | 116 Millburn Ave |
| EMPLOYER ADDRESS2 | Suite 102 |
| EMPLOYER CITY | Millburn |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7041 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19733762121 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Kothari |
| EMPLOYER POC FIRST NAME | Ketu |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 116 Millburn Ave |
| EMPLOYER POC ADDRESS2 | Suite 102 |
| EMPLOYER POC CITY | Millburn |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7041 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19733762121 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jeffries |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jeffries & Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 116 Millburn Ave |
| WORKSITE ADDRESS2 | Suite 102 |
| LCA CASE WORKLOC1 CITY | Millburn |
| WORKSITE COUNTY | ESSEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7041 |
| LCA CASE WAGE RATE FROM | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 272251 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER BUSINESS NAME | Jeffries and Corigliano, LLP |
| PREPARER EMAIL | [email protected] |
