| CASE NUMBER | I-200-24179-155231 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | North Shore Physicians Group |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | Two Corporation Way |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Peabody |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01960 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19785734302 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Caligiuri |
| EMPLOYER POC FIRST NAME | Louis |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director, Physician Recruiting and Contracting |
| EMPLOYER POC ADDRESS1 | Two Corporation Way |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | Peabody |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01960 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19785734202 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | lcaligiuri@mgb.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Dyleski-Najjar |
| AGENT ATTORNEY FIRST NAME | Debra |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 869 Turnpike Street |
| AGENT ATTORNEY ADDRESS2 | Suite 209 |
| AGENT ATTORNEY CITY | North Andover |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 01845 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19782476016 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dnajjar@nelgpc.com |
| LAWFIRM NAME BUSINESS NAME | Najjar Employment Law Group, P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 400 Highland Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Salem |
| WORKSITE COUNTY | ESSEX |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 01970 |
| WAGE RATE OF PAY FROM | 250,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $83,907.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | P-200-23363-598560 |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Dyleski-Najjar |
| PREPARER FIRST NAME | Debra |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Najjar Employment Law Group, P.C. |
| PREPARER EMAIL | dnajjar@nelgpc.com |
| BEGIN DATE CONVERTED | 2024-01-08 |
