| CASE NUMBER | I-200-25029-650488 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/29/2025 |
| DECISION DATE | 2/5/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/25/2025 |
| END DATE | 3/24/2028 |
| 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 | Zufall Health Center, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 18 W Blackwell Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Dover |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19733289100 |
| EMPLOYER PHONE EXT | 1471 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Shruti |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Generalist |
| EMPLOYER POC ADDRESS1 | 18 W Blackwell Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Dover |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19733289100 |
| EMPLOYER POC PHONE EXT | 1471 |
| EMPLOYER POC EMAIL | spatel@zufallhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Zimovcak |
| AGENT ATTORNEY FIRST NAME | Ludka |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 487 Goffle Road |
| AGENT ATTORNEY ADDRESS2 | Visaserve Plaza |
| AGENT ATTORNEY CITY | Ridgewood |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7450 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12016700006 |
| AGENT ATTORNEY PHONE EXT | 105 |
| AGENT ATTORNEY EMAIL ADDRESS | ludka_zimovcak@visaserve.com |
| LAWFIRM NAME BUSINESS NAME | NPZ Law Group, 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 | One Plainsboro Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Plainsboro |
| WORKSITE COUNTY | MIDDLESEX |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 8536 |
| WAGE RATE OF PAY FROM | $180,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $102,960.00 |
| PW UNIT OF PAY | Year |
| 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 | Banatt |
| PREPARER FIRST NAME | Ketlin |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | NPZ Law Group, P.C. |
| PREPARER EMAIL | ketlin_banatt@visaserve.com |
| BEGIN DATE CONVERTED | 2025-03-25 |
