New York Recertification Requirements for EMR, EMT, AEMT, & PARAMEDIC
Impact EMS Training offers online continuing education for EMS professionals seeking to maintain their National Registry certification.
In New York, EMS certification is regulated by the New York State Department of Health Bureau of Emergency Medical Services and Trauma Systems (NYSDOH BEMSATS). Unlike many states, New York maintains its own EMS certification process and does not use National Registry certification alone for state recertification. Providers renewing a New York EMS certification must participate in the state’s Continuing Medical Education (CME) Recertification Program through a participating EMS agency and meet all applicable state requirements.
New York EMS certifications are valid for 48 months. Providers participating in the CME Recertification Program must maintain continuous practice, complete the required continuing education and skills competency verification, and submit their electronic recertification application through the New York State process. Applications may be submitted up to nine months before expiration and should be submitted no later than 45 days before certification expires.
Providers who choose to maintain National Registry certification must also complete the appropriate National Registry recertification requirements separately. Maintaining National Registry certification does not automatically renew a New York EMS certification.
Always verify current renewal requirements with the New York State Department of Health Bureau of Emergency Medical Services and Trauma Systems and the National Registry.
How New York EMS Renewal Works
Unlike many states, New York uses an agency-based Continuing Medical Education (CME) Recertification Program rather than National Registry recertification for state renewal.
To renew your New York EMS certification, providers must:
- Hold an active New York EMS certification.
- Be affiliated with a participating New York CME agency.
- Maintain continuous practice throughout the certification period.
- Complete the required Core, Mandatory, and Additional continuing education for your certification level.
- Complete required skills competency verification.
- Maintain current CPR certification (and ACLS/PALS where applicable).
- Submit the electronic recertification application at least 45 days before certification expires.
Understanding New York CME Requirements
New York divides continuing education into three categories:
- Core Refresher Education reviews the National EMS Education Standards for your certification level.
- Mandatory Continuing Education includes the following required topics for all provider levels:
- Mental Health of the EMT: 1 hour
- Patient Lifting, Moving, & Transportation: 1 hour
- Safe Transport of Pediatric Patients: 1 hour
- Emergency Vehicle Operations: 2 hours
- Additional Continuing Education allows providers to complete EMS-related education beyond the core curriculum to address agency needs, clinical updates, and professional development.
Online Continuing Education
Online self-study education generally may account for up to 50% of the required CME hours unless completed through a Bureau-approved agency program authorized to provide 100% online education.
Providers maintaining National Registry certification must also complete the appropriate National Registry recertification requirements separately.
New York Emergency Medical Responder (EMR) Recertification
New York uses the Certified First Responder (CFR) designation rather than the National Registry Emergency Medical Responder (EMR) certification.
Providers maintaining National Registry EMR certification must complete the National Continued Competency Program (NCCP) requirements below.
New York does not maintain a statewide EMR certification equivalent, so providers should verify any local certification or continuing education requirements with their EMS agency or employer.
NREMT Requirements
National Registry EMRs must complete 16 hours of continuing education every 2 years.
- National Component: 8 hours
- Airway, Respiration, & Ventilation: 1 hour
- Cardiology & Resuscitation: 1 hour
- Trauma: 1 hour
- Medical/Operations: 2 hours
- EMS Operations: 3 hours
- Local/State Component: 4 hours
- Complete continuing education based on local protocols, regional EMS priorities, state-specific initiatives, or employer requirements.
- Individual Component: 4 hours
- Complete continuing education in topics that support your professional development or individual learning goals.
Total Required: 16 hours
State Requirements
New York does not currently maintain a statewide EMR recertification program comparable to National Registry EMR.
Providers should:
- Verify certification requirements with their EMS agency or employer.
- Maintain National Registry certification if required by their organization.
- Complete any required continuing education and skills verification established by their agency or medical director.
- Maintain current CPR or other required emergency response credentials.
Suggested Refresher Courses
- Online EMR Refresher Courses: 16-Hour & 8-Hour
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Instant certificate upon completion
Please note: New York providers must also complete the requirements of the NYSDOH CME Recertification Program through a participating agency. National Registry continuing education alone does not satisfy New York state recertification requirements.
Continuing Education Resources for EMRs
New York Emergency Medical Technician (EMT) Recertification
National Registry EMT certification follows the National Continued Competency Program (NCCP), which includes National, Local/State, and Individual continuing education components.
New York also requires EMTs to complete the state’s CME Recertification Program through a participating EMS agency.
NREMT Requirements
National Registry EMTs must complete 40 hours of continuing education every two years.
- National Component: 20 hours
- Airway, Respiration, & Ventilation: 1.5 hours
- Cardiology & Resuscitation: 2.5 hours
- Trauma: 3 hours
- Medical/Operations: 7 hours
- EMS Operations: 6 hours
- Local/State Component: 10 hours
- Complete continuing education based on local protocols, regional EMS priorities, state-specific initiatives, or employer requirements.
- Individual Component: 10 hours
- Complete continuing education in topics that support your professional development, clinical practice, or individual learning goals.
Total Required: 40 hours
State Requirements
New York certification is separate from National Registry certification and must be renewed through the state’s CME Recertification Program.
New York EMT certifications are renewed every 48 months through the New York State CME Recertification Program.
Providers must:
- Participate through a New York State-approved CME participating agency.
- Maintain continuous practice during the certification period.
- Complete:
- 20 hours of Core Refresher education
- 5 hours of Mandatory continuing education
- 20 hours of Additional EMS continuing education
- Maintain current Healthcare Provider CPR certification.
- Complete required skills competencies in addition to continuing education hours, including patient assessment, airway management, cardiac arrest management, hemorrhage control, splinting, and other skills appropriate to the provider level.
- Submit the electronic recertification application no later than 45 days before certification expiration.
Suggested Refresher Courses
- EMT Online Refresher Courses: 40-Hour, 24-Hour, & 20-Hour
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Instant certificate upon completion
Please note: New York providers must also complete the requirements of the NYSDOH CME Recertification Program through a participating agency. National Registry continuing education alone does not satisfy New York state recertification requirements.
Continuing Education Resources for EMTs
New York Advanced Emergency Medical Technician (AEMT) Recertification
National Registry AEMT certification follows the National Continued Competency Program (NCCP), which includes National, Local/State, and Individual continuing education components.
New York also requires AEMTs to complete the state’s CME Recertification Program through a participating EMS agency.
NREMT Requirements
National Registry AEMTs must complete 50 hours of continuing education every two years.
- National Component: 25 hours
- Airway, Respiration, & Ventilation: 2.5 hours
- Cardiology & Resuscitation: 3 hours
- Trauma: 3 hours
- Medical/Operations: 8.5 hours
- EMS Operations: 8 hours
- Local/State Component: 12.5 hours
- Complete continuing education based on local protocols, regional EMS priorities, state-specific initiatives, or employer requirements.
- Individual Component: 12.5 hours
- Complete continuing education in topics that support your professional development, clinical practice, or individual learning goals.
Total Required: 50 Hours
State Requirements
New York certification is separate from National Registry certification and must be renewed through the state’s CME Recertification Program.
New York AEMT certifications are renewed every 48 months through the New York State CME Recertification Program.
Providers must:
- Participate through a New York State-approved CME participating agency.
- Maintain continuous practice during the certification period.
- Maintain current Healthcare Provider CPR certification.
- Complete:
- 25 hours of Core Refresher education
- 5 hours of Mandatory continuing education:
- Mental Health of the EMT: 1 hour
- Patient Lifting, Moving, & Transportation: 1 hour
- Safe Transport of Pediatric Patients: 1 hour
- Emergency Vehicle Operations: 2 hours
- 20 hours of Additional EMS continuing education
- Complete required skills competencies in addition to continuing education hours, including patient assessment, airway management, cardiac arrest management, hemorrhage control, splinting, and other skills appropriate to the provider level.
- Submit the electronic recertification application no later than 45 days before certification expiration.
Suggested Refresher Courses
- AEMT Online Refresher Courses: 50-Hour & 25-Hour
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Instant certificate upon completion
Please note: New York providers must also complete the requirements of the NYSDOH CME Recertification Program through a participating agency. National Registry continuing education alone does not satisfy New York state recertification requirements.
Continuing Education Resources for AEMTs
New York Paramedic Recertification
National Registry Paramedic certification follows the National Continued Competency Program (NCCP), which includes National, Local/State, and Individual continuing education components.
New York also requires Paramedics to complete the state’s CME Recertification Program through a participating EMS agency.
NREMT Requirements
National Registry Paramedics must complete 60 hours of continuing education every two years.
- National Component: 30 hours
- Airway, Respiration, & Ventilation: 3.5 hours
- Cardiology & Resuscitation: 6 hours
- Trauma: 5 hours
- Medical/Operations: 8.5 hours
- EMS Operations: 7 hours
- Local/State Component: 15 hours
- Complete continuing education based on local protocols, regional EMS priorities, state-specific initiatives, or employer requirements.
- Individual Component: 15 hours
- Complete continuing education in topics that support your professional development, clinical practice, specialty interests, or individual learning goals.
Total Required: 60 hours
State Requirements
New York certification is separate from National Registry certification and must be renewed through the state’s CME Recertification Program.
New York paramedic certifications are renewed every 48 months through the New York State CME Recertification program.
Providers must:
- Participate through a New York State-approved CME participating agency.
- Maintain:
- Continuous practice during the certification period
- Current Healthcare Provider CPR certification.
- Current ACLS certification.
- Current PALS certification.
- Complete:
- 35 hours of Core Refresher education
- 5 hours of Mandatory continuing education
- Mental Health of the EMT: 1 hour
- Patient Lifting, Moving & Transportation: 1 hour
- Safe Transport of Pediatric Patients: 1 hour
- Emergency Vehicle Operations: 2 hours
- 20 hours of Additional EMS continuing education
- Complete required skills competencies in addition to continuing education hours, including patient assessment, airway management, cardiac arrest management, hemorrhage control, splinting, and other skills appropriate to the provider level.
- Submit the electronic recertification application no later than 45 days before certification expiration.
Suggested Refresher Courses:
- Paramedic Online Refresher Courses: 60-Hour & 30-Hour
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Instant certificate upon completion
Please note: New York providers must also complete the requirements of the NYSDOH CME Recertification Program through a participating agency. National Registry continuing education alone does not satisfy New York state recertification requirements.
Continuing Education Resources for Paramedics
*This page was updated on June 26, 2026.*
Always verify renewal requirements with the National Registry (NREMT) and the New York State Department of Health Bureau of Emergency Medical Services and Trauma Systems before renewing your certification.
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
