| CASE NUMBER | I-200-24346-535484 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/11/2024 |
| DECISION DATE | 12/18/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Staff Physician, Interventional Cardiologist |
| SOC CODE | 29-1212.00 |
| SOC TITLE | Cardiologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/1/2025 |
| END DATE | 5/31/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Hackensack Meridian Health Medical Group - Specialty Care, P.C. |
| TRADE NAME DBA | North Jersey Primary Care Associates |
| EMPLOYER ADDRESS1 | 30 Prospect Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Hackensack |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15519962000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Champagne |
| EMPLOYER POC FIRST NAME | Heather |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Paralegal |
| EMPLOYER POC ADDRESS1 | 343 Thornall Street |
| EMPLOYER POC ADDRESS2 | Fl. 8 |
| EMPLOYER POC CITY | Edison |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8837 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18488884460 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Heather.Champagne@hmhn.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fox |
| AGENT ATTORNEY FIRST NAME | Rosanna |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 354 Eisenhower Parkway |
| AGENT ATTORNEY ADDRESS2 | Suite 2875 |
| AGENT ATTORNEY CITY | Livingston |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7039 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19088731801 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | rosanna@ltf-law.com |
| LAWFIRM NAME BUSINESS NAME | Lepore Taylor Fox LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Hackensack University Medical Center |
| WORKSITE ADDRESS1 | 30 Prospect Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Hackensack |
| WORKSITE COUNTY | BERGEN |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 7601 |
| WAGE RATE OF PAY FROM | $350,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| 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 | McRoberts / #56.1 |
| PREPARER FIRST NAME | Irina |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Lepore Taylor Fox LLP |
| PREPARER EMAIL | irina@ltf-law.com |
| BEGIN DATE CONVERTED | 2025-06-01 |
