Fiscal Year

2020

Case Number

A-19154-12969

Case Status

Certified-Expired

Received Date

2019-08-01

Decision Date

2019-10-10

Refile

N

Original File Date

2020-01-01 07:22:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORG

Employer Name Slug

trinity-health-of-new-england-provider-network-org

Employer Address 1

114 WOODLAND STREET

Employer Address 2

Employer City

HARTFORD

Employer City Slug

hartford

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6105

Employer Phone

8607144236

Employer Number of Employees

810

Employer Year Commenced Business

1997

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Daniele Howe

Employer Contact Address 1

1109 Granby Road

Employer Contact Address 2

Employer Contact City

Chicopee

Employer Contact State/Province

MASSACHUSETTS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

1020

Employer Contact Phone

8558945590

Employer Contact Email

dhowe@riverbendmedical.com

Agent Attorney Name

Andrew L Wizner

Agent Attorney Firm Name

Leete, Kosto Wizner, LLP

Agent Attorney Phone

8602498100

Agent Attorney Address 1

Leete, Kosto Wizner, LLP

Agent Attorney Address 2

999 Asylum Avenue, Suite 202

Agent Attorney City

Hartford

Agent Attorney State/Province

CONNECTICUT

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

6105

Agent Attorney Email

Awizner@lkwvisa.com

PW Track Number

P10018278474367

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-03-04

PW Expiration Date

2019-06-30

Wage Offer From

220000.00

Wage Offer To

225000.00

Average Salary

222500.00

Wage Unit of Pay

Year

Worksite Address 1

114 Woodland Street

Worksite Address 2

Worksite City

Hartford

Worksite City Slug

hartford

Worksite State

CONNECTICUT

Worksite Postal Code

6105

Job Title

Staff Physician (Block Hospitalist)

Job Title Slug

staff-physician-block-hospitalist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Must be licensed or eligible for licensure to practice medicine in Connecticut, and Board Certified or Board Eligible in Internal or Family Medicine. Multiple openings. Note to Box C.1. the full name of the employer is Trinity Health of New England Provider Network Organization, Inc. Note to Box H.1. May also work at 1000 Asylum Avenue, Hartford, CT 06105. Note to Box F.1. Prevailing Wage Determination amount is same for both locations, which are in the same city, countytownship area, and MSA. Note to Box H.11. Responded to Prevailing Wage RFI as follows The Staff Physician Block Hospitalist will work as the supervising attending for AIMS midlevel providers in the following occupations Advanced Practitioner Registered Nurses; and Physician Assistants.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2019-04-24

SWA Job Order End Date

2019-05-28

Sunday Edition Newspaper

Y

First Newspaper Name

The Hartford Courant

First Advertisement Start Date

2019-05-05

Second Newspaper Ad Name

The Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-05-12

Employer Website From Date

2020-01-01 07:22:07

Employer Website To Date

2020-01-01 07:22:07

Professional Organization Ad From Date

2020-01-01 07:22:07

Professional Organization Advertisement To Date

2020-01-01 07:22:07

Job Search Website From Date

2020-01-01 07:22:07

Job Search Website To Date

2020-01-01 07:22:07

Employee Referral Program From Date

2019-05-21

Employee Referral Program To Date

2019-06-07

Local Ethnic Paper From Date

2019-05-16

Local Ethnic Paper To Date

2019-05-16

Radio/TV Ad From Date

2019-07-12

Radio/TV Ad To Date

2019-07-12

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2013

Foreign Worker Institution of Education

ROSS UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

2300 SW 145TH AVE #200

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

MIRAMAR

Foreign Worker Education Institution State/Province

FL

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

33027

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Andrew L Wizner

Preparer Title

Attorney

Preparer Email

awizner@lkwvisa.com

Employer Information Declaration Name

Mallory Davis

Employer Information Declaration Title

Physician Adv Practitioner Recruitmt Specialist