| CASE NUMBER | I-200-24173-139055 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/21/2024 |
| DECISION DATE | 6/28/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrology Fellow |
| 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 | New York City Health and Hospitals Corporation |
| TRADE NAME DBA | NYC Health + Hospitals/Jacobi |
| EMPLOYER ADDRESS1 | 1400 Pelham Parkway South |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Bronx |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10461 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17189185000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Urena |
| EMPLOYER POC FIRST NAME | Masiel |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate Director |
| EMPLOYER POC ADDRESS1 | 1400 Pelham Parkway South |
| EMPLOYER POC ADDRESS2 | Nurses Residence Building 4, Room 6S11 |
| EMPLOYER POC CITY | Bronx |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10461 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17189185006 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | masiel.urena@nychhc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Grael Jr. |
| AGENT ATTORNEY FIRST NAME | Marcos |
| AGENT ATTORNEY MIDDLE NAME | Aurelio |
| AGENT ATTORNEY ADDRESS1 | One Commerce Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 1900 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12260 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15184877600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immigration@woh.com |
| LAWFIRM NAME BUSINESS NAME | Whiteman Osterman & Hanna LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Third Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1400 Pelham Parkway South |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10461 |
| WAGE RATE OF PAY FROM | 69747 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $69,747.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2023 |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-08 |
