| LCA CASE NUMBER | I-200-22105-076193 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-15 |
| DECISION DATE | 2022-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NURSE PRACTITIONER |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | NG MEDICAL BROOKLYN PLLC |
| EMPLOYER ADDRESS1 | 943 60th STREET |
| EMPLOYER ADDRESS2 | SUITE C1 |
| EMPLOYER CITY | BROOKLYN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12124314309 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | HU |
| EMPLOYER POC FIRST NAME | SAVANNAH |
| EMPLOYER POC JOB TITLE | OFFICE MANAGER |
| EMPLOYER POC ADDRESS1 | 943 60th STREET |
| EMPLOYER POC ADDRESS2 | SUITE C1 |
| EMPLOYER POC CITY | BROOKLYN |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12124314309 |
| EMPLOYER POC EMAIL | savannah@ngmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TANNA |
| AGENT ATTORNEY FIRST NAME | CHETAN |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 990 HIGHLAND DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 104B |
| AGENT ATTORNEY CITY | SOLANA BEACH |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92075 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18586744040 |
| AGENT ATTORNEY EMAIL ADDRESS | GREENCARD@USA.NET |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF CHETAN P. TANNA INC. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 943 60th STREET |
| WORKSITE ADDRESS2 | SUITE C1 |
| LCA CASE WORKLOC1 CITY | BROOKLYN |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11219 |
| LCA CASE WAGE RATE FROM | 101920 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101816 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | ZER |
| PREPARER FIRST NAME | JUANITA |
| PREPARER BUSINESS NAME | LAW OFFICES OF CHETAN P. TANNA INC. |
| PREPARER EMAIL | GREENCARD@USA.NET |
