| CASE NUMBER | I-200-24196-195047 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/14/2024 |
| DECISION DATE | 7/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Exercise Physiologist |
| SOC CODE | 29-1128.00 |
| SOC TITLE | Exercise Physiologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | PRIME HEALTHCARE SERVICES INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 33 WOOD AVENUE SOUTH |
| EMPLOYER ADDRESS2 | SUITE 600 |
| EMPLOYER CITY | ISELIN |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 08830 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17326249393 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | KANDURI |
| EMPLOYER POC FIRST NAME | KISHORE |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 33 WOOD AVENUE SOUTH |
| EMPLOYER POC ADDRESS2 | SUITE 600 |
| EMPLOYER POC CITY | ISELIN |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08830 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17326249393 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Kishore.kanduri@primehealthcareUSA.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | JONNALAGADDA |
| AGENT ATTORNEY FIRST NAME | SRINIVASA |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 1270 BROADWAY, SUITE # 509 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12125450322 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LAWASSOCIATES@ATT.NET |
| LAWFIRM NAME BUSINESS NAME | S. R. JONNALAGADDA, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | A to Z Physical Therapy d/b/a Back to Motion Physical Therapy |
| WORKSITE ADDRESS1 | 643 Route 211 East |
| WORKSITE ADDRESS2 | Suite 4 |
| WORKSITE CITY | Scotchtown |
| WORKSITE COUNTY | ORANGE |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10940 |
| WAGE RATE OF PAY FROM | 64,043.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $64,043.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | JONNALAGADDA |
| PREPARER FIRST NAME | SRINIVASA |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | S. R. JONNALAGADDA, P.C. |
| PREPARER EMAIL | Lawassociates@att.net |
| BEGIN DATE CONVERTED | 2024-01-10 |
