| LCA CASE NUMBER | I-200-21321-710419 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-11-17 |
| DECISION DATE | 2021-12-15 |
| ORIGINAL CERT DATE | 2021-11-24 |
| 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 | 2022-01-15 |
| END DATE | 2025-01-14 |
| 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 | HEART AND VASCULAR ASSOCIATES OF NORTHERN NEW JERSEY, P.A. |
| TRADE NAME DBA | HVA MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 22-18 BROADWAY |
| EMPLOYER ADDRESS2 | SUITE 201 |
| EMPLOYER CITY | FAIR LAWN |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07410 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12014755050 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | URGO |
| EMPLOYER POC FIRST NAME | TERRI |
| EMPLOYER POC JOB TITLE | PRACTICE ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 22-18 BROADWAY |
| EMPLOYER POC ADDRESS2 | SUITE 201 |
| EMPLOYER POC CITY | FAIR LAWN |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07410 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12014755050 |
| EMPLOYER POC PHONE EXT | 9000 |
| EMPLOYER POC EMAIL | terri.urgo@heartandvascularnj.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DUTTON |
| AGENT ATTORNEY FIRST NAME | ANDREW |
| AGENT ATTORNEY ADDRESS1 | 243 NEW HYDE PARK ROAD |
| AGENT ATTORNEY CITY | GARDEN CITY |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670 |
| AGENT ATTORNEY EMAIL ADDRESS | adutton@andrewduttonlaw.com |
| LAWFIRM NAME BUSINESS NAME | ANDREW DUTTON, ESQ., P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | ST. JOSEPH'S UNIVERSITY MEDICAL CENTER |
| WORKSITE ADDRESS1 | 703 MAIN STREET |
| LCA CASE WORKLOC1 CITY | PATERSON |
| WORKSITE COUNTY | PASSAIC |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 07503 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 167066 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
