| CASE NUMBER | I-200-24215-240855 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/2/2024 |
| DECISION DATE | 8/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrologist |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | N |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| 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 | Steward St. Elizabeth's Medical Center of Boston, Inc. |
| TRADE NAME DBA | St. Elizabeth's Medical Center |
| EMPLOYER ADDRESS1 | 736 Cambridge Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02135 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16177893000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Bassett |
| EMPLOYER POC FIRST NAME | Kim |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 736 Cambridge St |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02135 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +1617494752 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Kim.Bassett@steward.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Guiral Cuervo |
| AGENT ATTORNEY FIRST NAME | Carolina |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17034838360 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Carolina.Guiral@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 736 Cambridge Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Boston |
| WORKSITE COUNTY | CAMBRIDGE CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 02135 |
| 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 | $220,958.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pereira Pires |
| PREPARER FIRST NAME | Juliana |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | juliana.pires@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
