| CASE NUMBER | I-200-24213-234610 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/31/2024 |
| DECISION DATE | 8/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | N |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Indravadan T. Patel M.D.P.A. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2060 Oak Tree Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Edison |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 08820 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17325486080 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Indravadan |
| EMPLOYER POC MIDDLE NAME | T. |
| EMPLOYER POC JOB TITLE | Physician |
| EMPLOYER POC ADDRESS1 | 2060 Oak Tree Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Edison |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08820 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17325486080 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ipatelmd@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Patel |
| AGENT ATTORNEY FIRST NAME | Sheetal |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1794 Oak Tree Road |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Eduson |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 08820 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17325936200 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | natalya@pasricha.com |
| LAWFIRM NAME BUSINESS NAME | Pasricha & Patel, LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2060 Oak Tree Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Edison |
| WORKSITE COUNTY | MIDDLESEX |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 08820 |
| WAGE RATE OF PAY FROM | 58.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $54.76 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-08 |
