| LCA CASE NUMBER | I-200-21126-292141 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-05-06 |
| DECISION DATE | 2021-05-25 |
| ORIGINAL CERT DATE | 2021-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident - PGY4 |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2022-06-30 |
| 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 | Saint Peter's University Hospital, Inc. |
| EMPLOYER ADDRESS1 | 254 Easton Avenue |
| EMPLOYER CITY | New Brunswick |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17327456652 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Bernstein, MD |
| EMPLOYER POC FIRST NAME | William |
| EMPLOYER POC JOB TITLE | Director of Medical Education |
| EMPLOYER POC ADDRESS 1 | 254 Easton Avenue |
| EMPLOYER POC CITY | New Brunswick |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17327456652 |
| EMPLOYER POC EMAIL | spuhmeded@saintpetersuh.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gold |
| AGENT ATTORNEY FIRST NAME | MARTA |
| AGENT ATTORNEY MIDDLE NAME | CRUZ |
| AGENT ATTORNEY ADDRESS1 | 340 Scotch Road |
| AGENT ATTORNEY ADDRESS2 | Suite 101 |
| AGENT ATTORNEY CITY | Ewing |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8628 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New Jersey |
| AGENT ATTORNEY PHONE | 16099248500 |
| AGENT ATTORNEY EMAIL ADDRESS | MGOLD@MGOLDLAWFIRM.COM |
| LAWFIRM NAME BUSINESS NAME | Law Office of Marta Cruz Gold |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF NEW JERSEY |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 254 East Avenue |
| LCA CASE WORKLOC1 CITY | New Brunswick |
| WORKSITE COUNTY | MIDDLESEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 8901 |
| LCA CASE WAGE RATE FROM | 69651 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 67693 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | AAMC |
| PW SURVEY NAME | AAMC Survey of Resident/Fellow Stipends & Benefits Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
