| LCA CASE NUMBER | I-200-23117-970943 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-27 |
| DECISION DATE | 2023-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrician/Gynecologist |
| SOC CODE | 29-1218.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-01 |
| END DATE | 2026-08-31 |
| 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 | Holy Name Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 718 Teaneck Road |
| EMPLOYER CITY | Teaneck |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07666 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12018333201 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Sparks |
| EMPLOYER POC FIRST NAME | Dennis |
| EMPLOYER POC MIDDLE NAME | W. |
| EMPLOYER POC JOB TITLE | Human Resources |
| EMPLOYER POC ADDRESS1 | 718 Teaneck Road |
| EMPLOYER POC CITY | Teaneck |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07666 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12018333097 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Read IV |
| AGENT ATTORNEY FIRST NAME | Forrest |
| AGENT ATTORNEY ADDRESS1 | 3737 GLENWOOD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19197606460 |
| AGENT ATTORNEY PHONE EXT | 6468 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NC Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Holy Name Medical Center, Inc. |
| WORKSITE ADDRESS2 | 576 Anderson Avenue |
| LCA CASE WORKLOC1 CITY | Cliffside Park |
| WORKSITE COUNTY | BERGEN |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 07010 |
| LCA CASE WAGE RATE FROM | 275000 |
| LCA CASE WAGE RATE TO | 295000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119018 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | READ |
| PREPARER FIRST NAME | FORREST |
| PREPARER BUSINESS NAME | JACKSON LEWIS, P.C. |
| PREPARER EMAIL | [email protected] |
