| LCA CASE NUMBER | I-200-21265-600821 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-22 |
| DECISION DATE | 2021-09-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-04 |
| END DATE | 2024-10-03 |
| 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 | RIVERSIDE PEDIATRIC GROUP, P.C. |
| EMPLOYER ADDRESS1 | 1 HARMON PLAZA |
| EMPLOYER ADDRESS2 | FLOOR 10 |
| EMPLOYER CITY | SECAUCUS |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7094 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15512577013 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BORJA |
| EMPLOYER POC FIRST NAME | MANUEL |
| EMPLOYER POC JOB TITLE | COUNSEL |
| EMPLOYER POC ADDRESS1 | 1 HARMON PLAZA |
| EMPLOYER POC ADDRESS2 | FLOOR 10 |
| EMPLOYER POC CITY | SECAUCUS |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7094 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15512577013 |
| EMPLOYER POC EMAIL | mborja@riversidemedgroup.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 6931 ARLINGTON ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | BETHESDA |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12022564989 |
| AGENT ATTORNEY EMAIL ADDRESS | JAN@WCSLAW.COM |
| LAWFIRM NAME BUSINESS NAME | Wright, Constable & Skeen, LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 324 Palisade Ave |
| WORKSITE ADDRESS2 | 2nd Floor |
| LCA CASE WORKLOC1 CITY | Jersey City |
| WORKSITE COUNTY | HUDSON |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7304 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 120370 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
