This application requires javascript. You will not be able to successfully complete the application without javascript enabled. Before You Begin the Physician Application. What are you applying for? Apply for a new license. Physicians applying for a limited permit Form 5A and full licensure must apply for a new NYS license. Apply for a limited permit Form 5B. Your name on your application must match the name on your photo ID. Education history, including locations and dates for all professional medical study as well as preprofessional study.
Clerkship information for any rotations done outside the country where the medical school is located, including subject areas, locations, and start and end dates for each such rotation. Documentation of postgraduate training can only be accepted if signed less than one month prior to the completion date of the training period for which credit is sought. If you or a third party send this form, we will take no further action until we receive direct verification from the hospital.
Please Note: This form must be sent to the Office of the Professions by the licensing jurisdiction. Please Note: This form must be sent to the Office of the Professions by the licensed physician verifying your practice. We will not accept this form if it is submitted by the applicant. The Office of the Professions OP will accept experience forms directly from supervisors provided that:.
You must have already submitted your application and fee for licensure and arranged to have the other required documentation sent to us. You need only submit Form 5A and the appropriate limited permit fee. Please Note: If you did not complete the required coursework or training in the identification and reporting of child abuse as part of your educational program, you must submit either a Certificate of Completion from an approved provider or a Certificate of Exemption Form.
In addition to Form 5B, you must submit the appropriate limited permit fee and arrange to have the other required documentation sent to us. Skip To Content. Google Translate Disclaimer. A New York State professional license is valid for life unless it is revoked, annulled, or suspended by the Board of Regents.
To practice in New York State, your professional license must be registered. To renew your registration online, visit www. If your registration has lapsed for longer than 4 months, submit a Delayed Registration Application. In New York State "endorsement" refers to satisfaction of the New York State licensure exam requirement by acceptance of licensure by examination in another jurisdiction.
In addition, full documentation of all other New York State licensure requirements including medical education, preprofessional education, proficiency examination if appropriate , postgraduate hospital training, valid licensure to practice independently in another jurisdiction, and satisfactory practice following licensure, among other requirements, must be submitted as part of an application for licensure by endorsement.
You may print and keep this checklist as a reminder of what forms you need to file. This is for your reference and should not be submitted with your application forms. You should also keep a copy of all application forms submitted. Skip To Content. Google Translate Disclaimer. To be licensed as a physician in New York State you must: be of good moral character; be at least 21 years of age; and meet education, examination and experience requirements.
Do not send cash. If you apply for licensure electronically using the online Application for Licensure, you will be required to pay by credit card. Other payments must be made by personal check or money order payable to the New York State Education Department.
Your cancelled check is your receipt. Mail any required forms and fees to the indicated address on the form. Partial Refunds Individuals who withdraw their licensure application may be entitled to a partial refund. For the procedure to withdraw your application, contact the Medicine Unit at opunit2 nysed. The State Education Department is not responsible for any fees paid to an outside testing or credentials verification agency.
Preprofessional Education: Satisfactory completion of 60 semester hours of college study from a New York State registered program or the equivalent as determined by the New York State Education Department. Graduates of Non-accredited Medical Programs Satisfactory completion of the following: A curriculum of not less than 32 months 4 academic years in a medical program recognized as an acceptable educational program for physicians by the appropriate civil authorities of the country in which the school is located and receipt of the degree of Doctor of Medicine, Doctor of Osteopathic Medicine, or the equivalent as determined by the Department.
You must complete the final year of medical education at the school that awarded you the degree. A satisfactory proficiency examination. Clinical Clerkships Your professional education must include supervised clinical clerkships clinical rotations as an integral part of the clinical component of your medical education program, that take place in a general hospital or another acceptable health care facility. Infection Control and Barrier Precautions: Every applicant for licensure as a physician or limited permit to practice medicine must complete approved coursework or training appropriate to the professional's practice in infection control and barrier precautions, including engineering and work practice controls, to prevent the transmission of the human immunodeficiency virus HIV and the hepatitis B virus HBV in the course of professional practice.
Limited Permits Eligibility You may be eligible to apply for a limited permit to practice medicine only under the supervision of a New York State licensed and currently registered physician and only in a general hospital, nursing home, State-operated psychiatric, developmental or alcohol treatment center, or incorporated, nonprofit institution for the treatment of the chronically ill. To be eligible for a limited permit, you must: have satisfied all requirements for a license as a physician except those relating to examination and citizenship or permanent residence status in the U.
Policies Questions about the supervision and scope of practice of a physician working under a limited permit should be directed to the New York State Health Department, Bureau of Hospital and Primary Care Services at Applicants Licensed in Another State Endorsement In New York State "endorsement" refers to satisfaction of the New York State licensure exam requirement by acceptance of licensure by examination in another jurisdiction.
More information concerning the registration of pharmacy establishments can be found here. Please note : sole-practitioners, practicing under their own name, can be located by searching for individual licensees above.
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