Can registered nurses and nurse practitioners inject Botox and fillers in New York?

Yes, under direct physician delegation and supervision. NP/PA may inject under physician collaboration; independent practice not permitted for injectables.

New York · Strict

Can RNs and Nurse Practitioners Inject Botox in New York?

Nurses do most of the injecting in this industry — but New York draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, under direct physician delegation and supervision.

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice not permitted for injectables.

Supervision & the medical director

Required; physician must supervise all injectable procedures.

The exam requirement

Required; in-person exam mandatory before treatment.

What to verify in New York

Verify physician supervision structure and ensure all staff delegation complies with NY Department of Health regulations.

Primary source: NY Department of Health; NY Medical Board

General business information for New York medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the New York board (and your own counsel) before you act.

See the full New York regulation profile →

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