| CASE NUMBER | I-200-24213-235411 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/31/2024 |
| DECISION DATE | 8/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/23/2024 |
| END DATE | 9/22/2027 |
| 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 | The Children's Medical Group |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 301 Manchester Road |
| EMPLOYER ADDRESS2 | Suite 105 |
| EMPLOYER CITY | Poughkeepsie |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12603 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18454521700 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Slonaker |
| EMPLOYER POC FIRST NAME | Chester |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 301 Manchester Road |
| EMPLOYER POC ADDRESS2 | Suite 105 |
| EMPLOYER POC CITY | Poughkeepsie |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12603 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18454521700 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Rslonaker@pediatricassociates.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Ted |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 7220 Camden Court |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12488517575 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | tss225@aol.com |
| LAWFIRM NAME BUSINESS NAME | VisaLawyer PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 63 Hurley Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kingston |
| WORKSITE COUNTY | ULSTER |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 12401 |
| WAGE RATE OF PAY FROM | 230,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $122,720.00 |
| 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 | 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 | 2025-11-09 |
