| CASE NUMBER | I-200-25024-639748 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/24/2025 |
| DECISION DATE | 1/31/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/24/2025 |
| END DATE | 2/23/2028 |
| 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 | WYCKOFF HEIGHTS MEDICAL CENTER |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 374 STOCKHOLM STREET |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11237 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17182401880 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lowe, CPSC, CPMSM, CPPM |
| EMPLOYER POC FIRST NAME | Elena |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | VP, Faculty Practice & Managed Care |
| EMPLOYER POC ADDRESS1 | 374 Stockholm Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11237 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17182401880 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | erlowe@wyckoffhospital.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Perlitsh |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 110 West 34th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12128403878 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | rochellen@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 374 Stockholm Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 11237 |
| 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 | $221,832.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | Neumann |
| PREPARER FIRST NAME | Rochelle |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | rochellen@perlitsh.com |
| BEGIN DATE CONVERTED | 2025-02-24 |
