New York
Licensure & Recertification Requirements for EMR, EMT, AEMT & Paramedics
Impact EMS Training offers online education for EMS professionals seeking to maintain 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).
New York does not currently use National Registry certification as the standard pathway for state recertification. EMS providers renewing a New York certification must complete New York State-approved continuing education through an approved courses sponsor. Impact EMS Training continuing education resources can be used for a portion of NY EMS recertification required hours, but additional training will be needed to meet state requirements.
Providers who maintain National Registry certification may still recertify with NREMT separately using the appropriate NCCP renewal pathway.
New York EMS certifications are valid for 48 months from the last day of the month in which the certificate was issued. Continuing education applications should be submitted at least 45 days before expiration.
Providers should always verify current requirements directly with the NYSDOH and the National Registry.
New York EMR Recertification
New York may utilize Certified First Responder (CFR) terminology in some systems, rather than EMR.
National Registry Emergency Medical Responder (EMR) certification follows the National Continued Competency Program (NCCP) model with national, local/state, and individual components.
New York does not currently issue a standard statewide EMR certification equivalent to National Registry EMR in the same way many other states do, so providers should verify local agency requirements.
NREMT Requirements
EMRs renewing National Registry certification must complete:
- National Component: 8 hours
- Airway, Respiration, & Ventilation: 1 hour
- Cardiology & Resuscitation: 1 hour
- Trauma: 1 hour
- Medical/Operations: 2 hours
- EMS Operations: 3 hours
- Locate or State Component: 4 hours
- Individual component: 4 hours
Total: 16 hours
State Requirements
New York does not currently maintain a traditional statewide EMR recertification pathway comparable to National Registry EMR recertification.
While New York does not currently issue a standard statewide EMR certification comparable to NREMT EMR, organizations that utilize EMRs may establish their own renewal timelines and competency requirements.
Providers should:
- Verify requirements with their local EMS agency, employer, or medical director
- Maintain National Registry EMR certification if required by their organization
- Complete any locally required skills verification or continuing education
- Confirm whether additional CPR or emergency response credentials are required for service affiliation
NREMT & State of New York EMR Continuing Education Resources
New York EMT Recertification
National Registry EMT certification follows the National Continued Competency (NCCP) model with national, local/state, and individual continuing education components.
New York also has separate state renewal requirements that must be completed through a New York State-approved program.
NREMT Requirements
EMTs renewing National Registry certification must complete:
- 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
- Individual Component: 10 hours
Total: 40 hours
State Requirements
New York EMT certifications are renewed every 48 months. Renewal requirements include:
- Completion of a New York State-approved refresher or continuing education program
- Continuing education must be sponsored by a NYS-approved course sponsor
- Providers may not renew New York certification through National Registry alone
- Some asynchronous online education may require state approval through the sponsoring agency
- Applications for recertification should be submitted at least 45 days before expiration
- Skills competency verification may also be required
- A New York State Certified Instructor Coordinator (CIC) may be required to approve portions of the continuing education process
NREMT & State of New York EMT Continuing Education Resources
New York AEMT Recertification
National Registry AEMT certification follows the NCCP model with national, local/state, and individual continuing education requirements. New York also maintains separate state continuing education requirements for AEMTs.
NREMT Requirements
AEMTs renewing National Registry certification must complete:
- 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 or State Component: 12.5 hours
- Individual Component: 12.5 hours
State Requirements
New York AEMT certifications are renewed every 48 months. Renewal requirements include:
- Completion of a New York State-approved continuing education or refresher program
- Continuing education must be completed through a NYS-approved course sponsor
- Providers cannot renew New York certification through National Registry alone
- New York may require instructor oversight and skills verification
- Live education requirements may apply depending on the sponsoring agency and course format
- Continuing education applications should be submitted no later than 45 days before expiration
NREMT & State of New York AEMT Continuing Education Resources
New York Paramedic Recertification
National Registry Paramedic certification follows the NCCP model with national, local/state, and individual continuing education requirements. New York also has additional state-specific recertification standards that must be completed through approved New York programs.
NREMT Requirements
Paramedics renewing National Registry certification must complete:
- 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 or State Component: 15 hours
- Individual Component: 15 hours
Total: 60 hours
State Requirements
New York paramedic certifications are renewed every 48 months. Recertification requirements include:
- Completion of a New York State-approved refresher or CME program
- Continuing education must be sponsored by a NYS-approved course sponsor
- Providers may not renew New York Certification through National Registry alone
- Continuing education applications should be submitted at least 45 days prior to certification expiration
- Some continuing education components may require instructor oversight or state-approved sponsorship
- Required topic areas include:
- Mental Health of EMTs: 1 hour
- Patient Lifting and Moving: 1 hour
- Safe Transport of Pediatric Patients: 1 hour
- Emergency Vehicle Driver Training: 2 hours
- Providers must complete required skills competencies in addition to continuing education hours
- Skills competency areas may include:
- Medical and trauma patient assessment
- Airway and ventilation management
- Cardiac arrest management
- Hemorrhage control and splinting
- IV/IO therapy and medication administration
- Skills competency areas may include:
- A New York State Certified Instructor Coordinator (CIC) who has previously taught a NYS-approved course may be required to sign off on core content completion
NREMT & State of New York Paramedic Continuing Education Resources
*This page was updated on May 18, 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.
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.
