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 for any facility performing injectables; must be on-site or available for consultation.

The exam requirement

Required; in-person exam mandatory before treatment initiation.

What to verify in New York

Ensure a licensed MD/DO is designated medical director with clear on-site or on-call availability and documented supervision protocols.

Primary source: New York State Department of Health / 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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