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EMT / Paramedic
Governing Authority
New Jersey Department of Health, Office of Emergency Medical Services (OEMS)
Official website →Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
No
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$1,000 (program) + $104 (NREMT exam)
EMT Initial Cost
3 years
Renewal Period
48 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including bleeding control, CPR, AED use, oxygen administration, and basic patient assessment
NREMT Required
Yes
Additional Requirements
Training Hours
120-150 hours
Scope of Practice
BLS care including patient assessment, vital signs, oxygen administration, BVM ventilation, CPR/AED, splinting, bleeding control, assisted medication administration (epinephrine auto-injector, nitroglycerin, albuterol), emergency childbirth, and spinal motion restriction
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
All EMT-Basic skills plus IV/IO access, fluid administration, supraglottic airway devices, blood glucose monitoring, CPAP, and limited medication administration per protocol
NREMT Required
Yes
Additional Requirements
Training Hours
1,200 hours
Scope of Practice
All AEMT skills plus endotracheal intubation, cardiac monitoring/12-lead ECG, manual defibrillation/cardioversion, transcutaneous pacing, needle chest decompression, surgical cricothyrotomy, comprehensive medication administration, and RSI where authorized
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
New Jersey requires approximately 190 hours for EMT training. Only NJ-OEMS approved courses are accepted. The minimum enrollment age is 16, with provisional certification available for minors ages 16-17. Full certification requires age 18. NJ transitioned from a state exam to NREMT. Initial certification card is valid only 12-18 months.
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Exam Requirements
VerifiedAccepted
NREMT Certification
Not Required
Cognitive Exam
Not Required
Psychomotor Exam
Yes
State-Specific Exam
NREMT Details
New Jersey transitioned from a state exam to NREMT for initial certification. NREMT recertification is NOT required for renewal; NJ uses CE-based renewal instead. NREMT cognitive exam is CAT format, 70-120 questions for EMT, 2-hour time limit, $104/attempt, scaled score of 950/1500 to pass, up to 6 attempts with 15-day wait between attempts. Psychomotor exam is administered by the state.
State Exam Details
New Jersey transitioned from a state-specific exam to the NREMT exam. No separate state exam is currently required.
Passing Score
NREMT uses computer adaptive testing (CAT) with 70-120 questions for EMT level, 2-hour time limit. Scaled passing score is 950/1500. No fixed percentage.
Retake Policy
NREMT allows up to 6 attempts with a 15-day waiting period between attempts. After 3 failed attempts, 24 hours of remedial training required. $80 per attempt.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT (EMT Certification Exam)
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EMT Exam Prep Books
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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NREMT Cognitive Exam
Passing Score
NREMT uses computer adaptive testing (CAT) with 70-120 questions for EMT level, 2-hour time limit. Scaled passing score is 950/1500. No fixed percentage.
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
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Study guides and practice tests for the NREMT certification exam.
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What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Real-time physician contact via radio or phone for consultation on patient care decisions beyond standing orders
Offline Medical Direction (Standing Orders)
Standing orders and protocols developed by the EMS medical director that authorize specific treatments without real-time physician contact
Protocol Requirements
All EMS providers in New Jersey must operate under the authority of a licensed physician medical director. Each EMS agency must have approved protocols.
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
Not sure if you need a emt license? Check whether your state requires one.
| Fee | Amount |
|---|---|
EMT Course Cost Varies by NJ-OEMS approved program | $1,000-$2,500 |
Paramedic Course Cost Varies by program and institution | $8,000-$16,000 |
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Minimal/no separate state certification fee | $35 |
Renewal Fee Per renewal cycle. Replacement card $5. | $35 |
Total Initial EMT Cost Minimal/no state certification fee; does not include textbooks or equipment | $1,000 (program) + $104 (NREMT exam) |
Total Initial Paramedic Cost Minimal/no state certification fee; does not include textbooks or equipment | $8,000 (program) + $104 (NREMT exam) |
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Renewal & CE Requirements
Verified3 years
Renewal Period
48 hrs
EMT CE Hours
60 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Not Accepted for State Renewal
CE Topics
Renewal Fee
$35
Minimal/no state renewal fee
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
No NREMT-Based Reciprocity
Reciprocity Type
NREMT-based reciprocity via application to NJ-OEMS; NOT an EMS Compact member state
Transfer Details
New Jersey accepts out-of-state EMTs with current NREMT certification. Applicants must apply through NJ-OEMS. Not an EMS Compact member state.
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare New Jersey with other states →
See how requirements, costs, and timelines differ across all 50 states.
New Jersey allows enrollment in EMT training at age 16 with provisional certification for minors. NJ transitioned from a state exam to NREMT. Only NJ-OEMS approved courses are accepted. Initial certification card is valid only 12-18 months (shorter than standard). Renewal uses a unique Refresher Modules A, B, C structure (24 hrs) plus 24 hrs elective CE. Minimal/no state certification fees. Not an NOT an EMS Compact member.
New Jersey allows enrollment in EMT training at age 16, with provisional certification for minors (16-17). Full certification requires age 18.
NJ transitioned from a state-specific exam to NREMT for initial certification.
NREMT recertification is NOT required for renewal; NJ uses CE-based renewal with Refresher Modules A, B, C structure.
Only NJ-OEMS approved training courses are accepted.
Initial certification card is valid only 12-18 months (shorter than the standard 3-year cycle).
Renewal requires 48 hours: 24-hour refresher (Modules A, B, C) plus 24 hours elective CE.
Minimal/no state certification fee; replacement card is $5.
New Jersey is NOT an EMS Compact member state.
EMT requirements in nearby states
| State | Total Cost | |
|---|---|---|
| New Jersey (you) | $1,000 (program) + $104 (NREMT exam) | |
| Connecticut | $1,000-$2,500 (program) + $104 (NREMT) + $130 (state practical) + $15 (state cert) | → |
| Delaware | $1,000-$2,500 (program) + $104 (NREMT) + $25 (state app) | → |
| New York | ~$25 (state exam) or $104 (NREMT alternative) + course tuition | → |
| Pennsylvania | $104 | → |
Other professional licenses in New Jersey
See how New Jersey compares: EMT License Fees by State — Cheapest to Most Expensive →
New Jersey is not currently a member of the EMS Compact (REPLICA). EMT licensees must apply through standard reciprocity or endorsement. See which states are in the REPLICA →
Related Guides
Explore requirements for other professional licenses in New Jersey.
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EMT requirements in New Jersey verified against New Jersey Department of Health, Office of Emergency Medical Services (OEMS), March 2026.
Moving to New Jersey? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to New Jersey →
Transfer your EMT license from New Jersey to: Delaware → | New York → | Pennsylvania →
New Jersey accepts NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the New Jersey Department of Health, Office of Emergency Medical Services (OEMS).
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in New Jersey
Compare approved training programs, costs, and requirements.