Paramedic requirements by state / NY

Paramedic requirements in New York.

What it takes to certify, renew, and transfer a Paramedic credential in New York — plus the official New York State Department of Health, Bureau of EMS link so you can confirm every detail before you apply.

Verify first

State rules, fees, and forms change. Treat this page as orientation, then confirm with the New York State Department of Health, Bureau of EMS. Pass the EMT is not a licensing authority.

New York Paramedic certification at a glance

NREMT required?Yes
Approximate program length1,000–1,800 hours, often as a 1–2 year college program
PrerequisitesYou'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
Recertification cycle2 years
Psychomotor (skills) examState DOH or NREMT-approved site
Reciprocity / transferring inNREMT + NY State Department of Health application
EMS Compact (REPLICA) memberNot listed as a member

How to become a Paramedic in New York

  1. 1. Meet the prerequisites. You'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
  2. 2. Finish an approved program. Expect roughly 1,000–1,800 hours, often as a 1–2 year college program of lecture, lab, and field/clinical time at a New York-approved training center.
  3. 3. Pass the cognitive exam. Sit the NREMT computer-adaptive Paramedic cognitive exam at a Pearson VUE test center.
  4. 4. Pass the skills exam. State DOH or NREMT-approved site.
  5. 5. Apply for state certification. Submit your application to the New York State Department of Health, Bureau of EMS, then recertify every 2 years.

Paramedic scope of practice in New York

A Paramedic in New York typically works with advanced airway management including intubation, 12-lead ECG interpretation, manual defibrillation and cardioversion, needle decompression, and a full ALS drug box. Your exact scope is set by New York EMS rules and your agency's medical director, so protocols vary between services — always practice to your local protocol.

Paramedic medication list →

Transferring a Paramedic card into New York

NREMT + NY State Department of Health application.

New York is not currently listed as an EMS Compact member, so plan on a full reciprocity application rather than a compact privilege to practice.

New York requires NREMT certification and a state certification process for EMS providers.

Official New York State Department of Health, Bureau of EMS

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NREMT® is a registered trademark of the National Registry of Emergency Medical Technicians. Pass the EMT is an independent study aid and is not affiliated with, endorsed by, or sponsored by NREMT. Data compiled from public New York EMS resources and subject to change.