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NJPMP
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Contact
- Email
  
  General AskConsumerAffairs@dca.lps.state.nj.us
  
  Initial Applications InitialApplications@dca.lps.state.nj.us
  
  Renewal Applications RenewalApplications@dca.lps.state.nj.us
  
  Press Office (For Reporters Only) DCAPress@dca.njoag.gov
  
  Call
  
  Consumer Service Center Hotline (973) 504-6200
  
  Toll free (NJ only) (800) 242-5846
  
  Press Office (For Reporters Only) (973) 504-6444
  
  Visit
  
  124 Halsey Street
  Newark, New Jersey 07102
  Directions
  
  Offices remain closed to the public due to the public health emergency, however, staff is working remotely. Use the gray tool bar to navigate to the department or professional board you need to get in touch with. Please scan and email documentation, to the extent possible, to the email address found on each unit's homepage.

State Board of Medical Examiners

Applications and Forms

Licensing and the Application Process

Applications

Application for Licensure by the State Board of Medical Examiners of New Jersey
- Online Application

Application for Podiatry Licensure by the State Board of Medical Examiners of New Jersey
- Online Application

Application for Doctor of Osteopathy by the State Board of Medical Examiners of New Jersey
- Online Application

Application for an Extension for Not More than 60 Days

Forms

Medical Education Verification Form

Verification of Postgraduate Training Form

Verification of Privileges Affiliation Employment Appointment Form

Verification of State License Examination Form

Malpractice Insurance Verification Form

Podiatry Education Verification Form

Podiatry Verification of Postgraduate Training Form

Podiatry Verification of Privileges/Affiliation/Employment/Appointments Form

Podiatrist Malpractrice Insurance Verification Form

Last Modified: 5/3/2021 9:04 AM

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State Board of Medical Examiners

Applications and Forms

Applications

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State Board of Medical Examiners

Applications and Forms

Applications

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State

Legal

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Forms