
Paramedics are New York's highest-trained emergency medical responders, providing advanced life support in critical situations. Becoming a paramedic requires completing advanced medical training, earning national certification, and securing state certification through the New York State Department of Health (NYSDOH).
This guide details the updated requirements for training, certification, salary, and career opportunities. The annual mean wage for paramedics in New York is $69,010, and with a projected 5% job growth nationwide between 2024 and 2034, now is an excellent time to start your journey.
According to May 2024 data from the Bureau of Labor Statistics, the annual mean wage for paramedics in New York is $69,010 ($33.18 per hour).
Earnings vary based on employer, experience, and location.
The job outlook is exceptionally strong. The BLS projects a 5% increase in paramedic employment between 2024 and 2034, faster than the other vocations.
Becoming a paramedic opens up a wide range of career paths and opportunities. Here are some of the career options you can explore after becoming a paramedic:
Emergency Medical Services (EMS): Many paramedics work in the field of EMS, responding to emergency calls and providing pre-hospital care to patients. EMS agencies can be found in both urban and rural areas, and paramedics may work for public or private organizations.
Fire Departments: Paramedics often work for fire departments, providing emergency medical care alongside firefighters. In many fire departments, paramedics are cross-trained as firefighters and respond to both medical and fire emergencies.
Hospitals: Some paramedics choose to work in hospitals, providing emergency care in the emergency department or working as part of a critical care transport team. In this setting, paramedics may work closely with other healthcare professionals, such as nurses and doctors.
Flight Paramedics: Flight paramedics work on medical helicopters or fixed-wing aircraft, providing emergency medical care to patients who need to be transported to specialized medical facilities. This career path requires additional training and certification.
Education and Training: Experienced paramedics can pursue careers in education and training, teaching future paramedics or providing continuing education courses for practicing paramedics.
Management and Administration: Paramedics with leadership skills and a strong understanding of EMS operations may choose to pursue careers in management or administration. This can involve overseeing EMS agencies, managing budgets, and developing policies and procedures.
It typically takes 1.5 to 3 years. This includes approximately 150-180 hours for EMT-Basic training followed by 12–24 months for a paramedic program..
You need a high school diploma or GED, a current New York EMT-B certification, completion of a state-approved paramedic program, a passing score on the NREMT exam, and official certification from the NYSDOH.
Yes. International applicants must hold legal U.S. work authorization, complete an accredited U.S. paramedic program, and pass the NREMT exam to be eligible for state certification.
Paramedics earn an average of $69,010 per year ($33.18 per hour) (BLS, 2024), with higher pay in metropolitan areas such as NYC and Long Island.
Becoming a paramedic in New York is a challenging yet deeply fulfilling career path that places you on the front lines of emergency care. With high demand and strong job growth, dedicated training opens the door to a respected profession where you can make a direct impact on people's lives.
If you're ready to start, explore accredited paramedic trainings on Dreambound and begin your journey toward a career that saves lives.
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Justine Tacmo is part of the Growth team at Dreambound. He assists the organization by updating critical information so students receive the most up-to-date information for their desired trade schools. Besides, he has a passion for writing and expresses it through poetry, covering themes of life, love, and mental health, which is also his advocacy.
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A paramedic is an advanced emergency medical professional trained to perform complex pre-hospital procedures. They manage trauma, cardiac, and respiratory emergencies; administer medications; and ensure patients receive rapid, safe transport to a hospital. Paramedics often serve as team leaders during emergency calls, coordinating with EMTs, nurses, and physicians.
Paramedics work in diverse settings, including:
To qualify for state certification, candidates must meet all education and legal requirements set by the New York State Department of Health Bureau of EMS:
The path to becoming a paramedic in New York follows a clear sequence of training and certification set by the New York State Department of Health Bureau of EMS. To qualify, you must be at least 18 years old, hold a valid driver's license, and pass a criminal background check.
All paramedics begin their careers as EMTs. The first step is to complete a state-approved EMT-Basic program, which typically involves 150 to 180 hours of training. After passing the practical and written exams, you can apply for your NYS EMT-B certification.
Explore accredited EMT trainings on Dreambound to begin your journey.
Once certified as an EMT, you can enroll in a paramedic program approved by the NYSDOH. These programs are offered by community colleges, technical institutes, and hospitals. Coursework covers advanced topics like pharmacology, advanced airway management, and cardiology.
Programs typically require 1,200 to 1,800 hours of training, including classroom instruction, hospital clinicals, and a field internship.
After completing your training, you must pass the National Registry of Emergency Medical Technicians (NREMT) Paramedic exam. This exam has two parts:
With your NREMT certification, you can submit your Paramedic Certification Application to the NYSDOH Bureau of EMS. Your application must include proof of NREMT certification, training transcripts, and other required documentation. Once approved, you will receive your official New York Paramedic certification.
With your state certification, you can begin applying for jobs. Search for current openings via MyNextMove or directly through city or county EMS agencies, fire departments, private ambulance companies, and hospital transport services.
The full process to become a paramedic in New York typically takes 1.5 to 3 years, which includes the time needed for EMT-Basic training and certification.
Program costs vary by institution.
While no new state-specific financial aid programs for paramedics were launched for 2025-2026, federal grants may be available to states to help support the rural EMS workforce.
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