Open a jurisdiction to review its dated requirements and official sources. Use the compact tables to compare which states participate.
All 51 jurisdictions · Compact status table · Plan the crossing: offshore · 911 ground · IFT
Can I work a 13-week contract here on my home-state licence?
No — you need full state licensure
The Commission's current state-specific page explicitly says New Jersey has not yet joined the EMS Compact.
The Commission's current state-specific page explicitly says New Jersey has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.
EMS Compact Commission · emscompact.gov · verified 4 Oct 2026 · Partly supported
Requirements include source links and review dates. Expand each source quotation for the supporting text. Unverified and incomplete information is labelled alongside the relevant requirement.
The items most likely to cost you a start date.
Worth knowing
New Jersey licenses about 1,700 Mobile Intensive Care Paramedics against more than 20,000 certified EMTs. The paramedic tier carries a state-specific title and is licensed, while EMTs are certified.
A 12:1 EMT-to-paramedic ratio is unusually lopsided and reflects New Jersey's hospital-based ALS model, where paramedics work for hospital systems rather than for the transporting BLS agency. Worth understanding before taking a New Jersey contract, because it changes who the employer is.
State EMS office · nj.gov · verified 9 Aug 2026
The Office of Emergency Medical Services (OEMS) certifies more than 20,000 Emergency Medical Technician (EMTs) and licenses more than 1,700 Mobile Intensive Care Paramedics (MICP's)
nj.gov · State EMS office
The office that issues the card, and the law it issues it under.
3 of 5 answered from a source · 2 written up as absences
Who actually issues an EMS licence in New Jersey?
New Jersey Department of Health, Office of Emergency Medical Services (OEMS)
Created in 1967 and, by its own account, the first office of its kind in the United States.
OEMS is part of the department's division of Division of Disaster Preparedness, Resiliency, and Emergency Medical Services (DPREMS).
nj.gov · State EMS office
Where is New Jersey's EMS licensing office online?
Partly supported
Derived from the page's own path rather than from prose naming the office's home URL; New Jersey nests OEMS under a department division whose acronym does not appear in the URL.
Where do I actually submit an application in New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Who do I call or email about New Jersey licensure?
ems@doh.nj.gov / 609-633-7777
For routine business questions, please call 609-633-7777 or send an email to ems@doh.nj.gov
nj.gov · State EMS office
Which statute or rule governs EMS licensure in New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Levels, term, and what your National Registry does and does not buy you.
1 of 6 answered from a source · 5 written up as absences
What levels does New Jersey issue, and what does my cert become there?
Emergency Medical Technician (EMT)
Mobile Intensive Care Paramedic (MICP)
Partly supported
Taken from OEMS's own description of what it issues. The list may be incomplete — no EMR or AEMT tier is mentioned, and New Jersey is known for not running an AEMT level, but that absence is not stated here. The MICP naming and the certify/license split are both traveller-relevant.
The Office of Emergency Medical Services (OEMS) certifies more than 20,000 Emergency Medical Technician (EMTs) and licenses more than 1,700 Mobile Intensive Care Paramedics (MICP's)
nj.gov · State EMS office
How long does a New Jersey licence last before renewal?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Do I need National Registry to get licensed in New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Do I have to keep National Registry current to keep a New Jersey licence?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Does New Jersey make me sit its own exam?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What criminal history bars me from licensure in New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
The EMS Compact — formally REPLICA, the Recognition of EMS Personnel Licensure Interstate Compact. Enacted, in force, and verifiable status are separate dated facts, plus what privilege covers.
4 of 10 answered from a source · 6 written up as absences
What do I have to satisfy for compact privilege to apply in New Jersey?
Does not arise in New Jersey
New Jersey has not enacted the EMS Compact, so there is no Privilege to Practice here for a medic licensed elsewhere, and no conditions to satisfy.
Which situations does compact privilege cover in New Jersey?
Does not arise in New Jersey
Privilege to Practice is not recognised in New Jersey.
When do I need full New Jersey licensure instead of privilege?
Does not arise in New Jersey
Full New Jersey licensure is required for every circumstance, because privilege does not exist here at all. Recorded as not_applicable rather than as a list, since an exhaustive list would just restate 'everything'.
Can I work a 13-week contract in New Jersey on my home-state licence?
No — you need full state licensure
Partly supported
The Commission's current state-specific page explicitly says New Jersey has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.
New Jersey has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
I have an old or inactive New Jersey card — can I still use compact privilege here?
Does not arise in New Jersey
The Home State / Remote State distinction is a compact concept and does not arise in New Jersey. A New Jersey licence neither grants nor forfeits privilege anywhere, and holding one does not affect privilege in Member States.
Does New Jersey add anything on top of the compact?
Does not arise in New Jersey
There are no privilege holders in New Jersey to restrict.
Where does an employer verify my privilege for New Jersey?
Does not arise in New Jersey
No compact privilege exists in New Jersey to verify. New Jersey licence verification, where the state publishes a lookup, is a different thing and lives under regulator.
Has New Jersey passed the EMS Compact into law?
Unverified
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
Partly supported
ABSENCE-BASED. New Jersey does not appear in the Commission's State Laws table, which describes itself as a complete list of enacted statutes. Confidence is medium rather than high because no source affirmatively states that New Jersey is not a member — the claim follows from absence, and the Commission's own count of participating states does not match the number of rows in this table (see source_caveats).
Defect in this source The Commission's homepage counts 28 participating states while this State Laws table, which calls itself complete, lists 25 rows. The gap is Alaska, Arizona and Connecticut, which enacted in the 2025-2026 sessions and are footnoted on the homepage but absent from the table.
This section provides a complete list of the individual state statutes as enacted, representing each state's legal adoption of the United States EMS Compact.
emscompact.gov · EMS Compact Commission
Is New Jersey's compact law actually in effect yet?
Unverified
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
Partly supported
ABSENCE-BASED, and downstream of compact.enacted: nothing can take effect in New Jersey because nothing has been enacted. has_delayed_implementation_clause is false because there is no clause — not because a clause was read and found to be absent.
This section provides a complete list of the individual state statutes as enacted, representing each state's legal adoption of the United States EMS Compact.
emscompact.gov · EMS Compact Commission
Can my Privilege to Practice actually be verified in New Jersey?
Partly supported
The Commission's current state page says New Jersey has not yet joined the EMS Compact. The Commission describes NEMSCD data as covering participating states, so this supports nonparticipation rather than an independent integration check. This does not establish legal activation or practitioner eligibility in other states.
New Jersey has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
The route in when privilege does not cover you.
0 of 9 answered from a source · 9 written up as absences
Will New Jersey recognise my out-of-state certification at all?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What does New Jersey call its out-of-state pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Where do I start a reciprocity application for New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What does New Jersey require from an out-of-state applicant?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What does it cost to get licensed in New Jersey from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
How long will New Jersey take to process my application?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What background check does New Jersey require, and how do I do it from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Can I start working in New Jersey before full approval?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Does my National Registry have to be current to apply in New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
The renewal clock and what it costs in hours.
0 of 7 answered from a source · 7 written up as absences
How often do I recert in New Jersey?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
How many CE hours does New Jersey want, and in what?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Can I use NCCP hours to recert in New Jersey, or does it want its own?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What does New Jersey require at renewal that other states do not?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Does New Jersey make me take a refresher course to recert?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
My New Jersey cert expired — can I still get it back?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Where do I find CE that New Jersey will accept?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Where a service record shortens the path.
0 of 4 answered from a source · 4 written up as absences
Does New Jersey have a faster route for military training or veterans?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
What does New Jersey's military pathway actually get me?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Where does New Jersey document its military pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
Does New Jersey extend its military pathway to spouses?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and New Jersey's own EMS office pages have not been read.
DEA rewrote the narcotics rules for EMS in February 2026. Registration moved from the medical director to the agency itself, and the rule spells out storage, restocking and standing-order administration. These rules are federal and read the same in every state.
10 federal facts, quoted from the Federal Register · 1 of 2 New Jersey facts answered from state law
What changed, and when did it take effect?
The DEA final rule implementing the Protecting Patient Access to Emergency Medications Act of 2017 (PPAEMA). It amends 21 CFR parts 1300, 1301, 1304 and following to create the EMS agency registration and the storage, delivery and recordkeeping rules below.
Who holds the DEA registration an ambulance operates under?
Before this rule most services ran narcotics under their medical director's practitioner registration. The registration now belongs to the agency, as its own DEA business-activity category.
the Act directs the Attorney General (and thus the Administrator) to allow a registered EMS agency to obtain a single registration for each State in which the EMS agency administers controlled substances, rather than requiring the agency to obtain a separate registration for each location at which it operates within that State.
Does one DEA registration cover operating in another state?
The fact that matters most to a traveler: compact privilege can carry your licence across a border, but it does not carry your agency's DEA registration. An agency running trucks in two states registers twice.
EMS agencies that wish to operate in multiple States must register with DEA in each State in which they operate.
Can a medic administer controlled substances without the medical director present?
Federal law now says yes, but only where state law agrees: EMS professionals are only allowed to make such administrations if authorized by State law. Whether your state's law does is the per-state question at the end of this section.
the Act allows emergency medical services professionals to administer controlled substances outside the physical presence of a medical director or authorizing medical professional pursuant to a valid standing or verbal order.
How do narcotics have to be stored in the vehicle?
EMS vehicles storing controlled substances must be locked when parked outside of an enclosed registered or designated location, with the controlled substances stored in a securely locked, substantially constructed cabinet or safe that cannot be readily removed.
Does a hospital-based agency need its own registration?
Hospital-based means owned or operated by a hospital. If you work for a hospital service, the drug box stays on the hospital's paper.
The CSA, as amended by the Act, expressly allows hospital-based EMS agencies to operate under the hospital's registration rather than obtaining their own separate registration.
Can the truck restock controlled substances from a hospital?
the Act allows non-hospital-based EMS agencies to receive controlled substances from a hospital for the purpose of restocking an EMS vehicle following an emergency response.
What does the DEA registration cost an agency?
this rule reflects the current fee of $888 so that, as intended, the fee for EMS registrants is the same as that for other dispensers of controlled substances.
Do municipal and fire-based services pay the fee?
Even if the EMS agency is not operated by a government fire department, if the EMS agency itself is operated by the local government, it would also be exempt from application fees.
When does an existing service have to move to the new registration?
DEA recommends agencies contact their local field office to complete the transition.
The three options for EMS agencies to transition are: (1) transition immediately on the effective date established by DEA; (2) transition at the expiration of their current registration; or (3) transition three to six months prior to their renewal date.
Does New Jersey law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?
Partly supported
The statute authorizes advanced life support generally and does not use the words 'controlled substance', hence partial support. That controlled substances are in fact inside New Jersey's standing orders is confirmed by the Department's own pediatric standing orders at nj.gov/health/ems/documents/reg-enforcement/als_pediatric_standing_orders.pdf, which directs the crew to 'administer either Lorazepam 0.05 mg/kg up to 2mg IV or Diazepam 0.1 mg/kg up to 5mg IV' for a sustained seizure and morphine or fentanyl for pain — schedule II and IV drugs given before medical command contact. New Jersey's arrangement is unusual in two ways a traveller should know. First, the standing orders are written by the State, not the agency: N.J.A.C. 8:41-7.2(a) requires the provider's medical director to adopt them 'in their entirety' and forbids altering, abbreviating or enhancing them. Second, standing orders are a bridge, not a destination — N.J.A.C. 8:41-7.2(b)-(d) makes them initial treatment protocols that 'cease to be operative once contact is made with the medical command physician'. The adult standing orders in subchapter 7 contain no controlled substance at all; the controlled-substance standing orders reach the field through subchapter 8 and through Certificates of Waiver the Office of EMS issues under N.J.A.C. 8:41-1.4.
A mobile intensive care paramedic may perform advanced life support services, provided that the paramedic is following protocols which have been approved pursuant to paragraph (3) of subsection a. of section 8 of this act, any standing orders the department may issue
pub.njleg.gov · State legislature
Does New Jersey require its own controlled-substance registration for EMS agencies?
Source unavailable
New Jersey plainly runs its own controlled dangerous substance registration through the Drug Control Unit of the Division of Consumer Affairs, and that unit's application materials state the registration is required of every person or firm that prescribes, manufactures, distributes or dispenses CDS in the State and is a prerequisite to federal DEA registration. We are not recording that as a value because njconsumeraffairs.gov sits behind an Incapsula interstitial that returns a block page to our fetcher rather than the PDF, so the quote cannot be verified and the site's own FAQ page fails outright. The deeper question is also unresolved from any source we could reach: whether the registrant for prehospital care is the EMS agency or the hospital. New Jersey ALS is hospital-owned by statute — N.J.S.A. 26:2K-12(a)(1) lets only an authorized hospital develop and maintain a mobile intensive care unit, and N.J.A.C. 8:41-9.1(b) bars any acute care hospital from operating a mobile intensive care program until licensed by the Department — so there may be no free-standing EMS-agency registrant class at all. N.J.A.C. 8:41-6.3, which is the EMS rule on controlled dangerous substances, covers inventory, double-lock storage and narcotics logs and says nothing about registration. Resolving this needs someone who can open njconsumeraffairs.gov in a browser or call the Drug Control Unit.
source page could not be read (NaN Oct 2026). The displayed value has not been confirmed as current.
Questions not yet settled from a primary source.
How does an out-of-state paramedic become a New Jersey MICP? New Jersey's hospital-based ALS model and the certify/license split suggest the route differs from an EMT's, and OEMS's landing page states neither.
opened 9 Aug 2026 · blocks reciprocity.pathway_exists, reciprocity.requirements, reciprocity.fee, licensure.nremt_required_initial
Does New Jersey issue an EMR or AEMT credential at all? OEMS names only EMT and MICP, but silence on a landing page is not a finding.
opened 9 Aug 2026 · blocks licensure.levels