| LCA CASE NUMBER | I-200-22118-114594 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-27 |
| DECISION DATE | 2022-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN- INTERNAL MEDICINE |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-26 |
| END DATE | 2025-05-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LAKEWOOD RESOURCE AND REFFERAL CENTER |
| TRADE NAME DBA | CENTER FOR HEALTH, EDUCATION, MEDICINE AND DENTISTRY |
| EMPLOYER ADDRESS1 | 1771 MADISON AVENUE |
| EMPLOYER CITY | LAKEWOOD |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 08701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17323643559 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | STERN |
| EMPLOYER POC FIRST NAME | YAIR |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESOURCE |
| EMPLOYER POC ADDRESS1 | 1771 MADISON AVENUE |
| EMPLOYER POC CITY | LAKEWOOD |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17325237967 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MENON |
| AGENT ATTORNEY FIRST NAME | PIA |
| AGENT ATTORNEY ADDRESS1 | 6127 SOUTH ELLIS AVENUE |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60637 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17087710594 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | THE LAW OFFICE OF PIA MENON, PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1771 MADISON AVENUE |
| LCA CASE WORKLOC1 CITY | LAKEWOOD |
| WORKSITE COUNTY | OCEAN |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 08701 |
| LCA CASE WAGE RATE FROM | 197000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118726 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
