| CASE NUMBER | I-200-24362-573924 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/27/2024 |
| DECISION DATE | 1/6/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Vascular Surgeon |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/20/2025 |
| END DATE | 7/31/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Capital Health System, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 750 Brunswick Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Trenton |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8638 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16093946208 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Eisenberg |
| EMPLOYER POC FIRST NAME | Joshua |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Physician Executive |
| EMPLOYER POC ADDRESS1 | 1 Capital Way |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Pennington |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8534 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16093946208 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jeisenberg@capitalhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Christine |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 2350 South Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite A |
| AGENT ATTORNEY CITY | Scotch Plains |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7076 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19732325291 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | cmartinez@machadolawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Machado Law Group |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Superior Court of New Jersey |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 750 Brunswick Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Trenton |
| WORKSITE COUNTY | MERCER |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 8638 |
| WAGE RATE OF PAY FROM | $572,568.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $305,406.00 |
| 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 | 2 |
| 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 | 2025-01-20 |
