| LCA CASE NUMBER | I-200-21197-466213 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-16 |
| DECISION DATE | 2021-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | Southern Jersey Family Medical Centers Inc |
| EMPLOYER ADDRESS1 | 1 N White Horse Pike |
| EMPLOYER CITY | Hammonton |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8037 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16094159874 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Flake |
| EMPLOYER POC FIRST NAME | Linda |
| EMPLOYER POC MIDDLE NAME | Y |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 1 N White Horse Pike |
| EMPLOYER POC CITY | Hammonton |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8037 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16094813006 |
| EMPLOYER POC EMAIL | krista.gross@sjfmc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wong |
| AGENT ATTORNEY FIRST NAME | Margaret |
| AGENT ATTORNEY ADDRESS1 | 3150 Chester Ave |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12165669908 |
| AGENT ATTORNEY EMAIL ADDRESS | brian@imwong.com |
| LAWFIRM NAME BUSINESS NAME | Margaret Wong and Assoc |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3003 English Creek Ave |
| WORKSITE ADDRESS2 | Ste C-6 |
| LCA CASE WORKLOC1 CITY | Egg Harbor Township |
| WORKSITE COUNTY | ATLANTIC |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 8234 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 172952 |
| 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 |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
