Who can inject
MD/DO, NP/PA under physician supervision, RN under physician delegation.
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.
The exam that makes it legal
Required; in-person exam mandatory before treatment. A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure; however, physician supervision and delegation protocols must be documented.
What to verify in New York
Verify physician supervision requirements and ensure compliance with New York State Department of Health regulations before launching.
Primary source: New York State Department of Health; State Board of Medicine; Board of Nursing.
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.