| LCA CASE NUMBER | I-200-23163-101714 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-12 |
| DECISION DATE | 2023-06-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner (Hospital Medicine) |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-08 |
| END DATE | 2026-10-07 |
| 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 | Thomas Jefferson University Hospital |
| EMPLOYER ADDRESS1 | 111 S. 11th Street |
| EMPLOYER CITY | Philadelphia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12159556000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Kerry |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | AVP, Academic Planning & Scholarly Partnerships |
| EMPLOYER POC ADDRESS1 | 1020 Walnut Street |
| EMPLOYER POC ADDRESS2 | 5th Floor |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12155034335 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Dennis |
| AGENT ATTORNEY FIRST NAME | Kristen |
| AGENT ATTORNEY MIDDLE NAME | Repyneck |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 630 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Goldblum, Pollins & Dennis, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 111 S. 11th Street |
| WORKSITE ADDRESS2 | Department of Medicine, Division of Hospital Medicine |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19107 |
| LCA CASE WAGE RATE FROM | 124654.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90064 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
