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State requirements · New York
What you need to operate in New York
New York treats a mobile health van as an Article 28 extension clinic. Only a licensed hospital or diagnostic and treatment center may operate one, and certifying the van takes a certificate-of-need Limited Review. X-ray equipment is registered with the State Health Department, or with the City Health Department inside New York City.
Facility licensing for a mobile clinic
New York licenses the mobile clinic itself, through the parent facility. The New York State Department of Health’s Mobile Van Submission Guidelines (revised February 2026) say it plainly: “A mobile health van is considered a mobile extension clinic,” and “Only an Article 28 hospital or diagnostic & treatment center (D&TC) may operate a mobile extension clinic.” The van is added to that facility’s operating certificate under 10 NYCRR Parts 710, 711 and 715-2.4. A private practice that is not an Article 28 facility cannot certify a van on its own; it works with a hospital or D&TC that can. Mobile dental and mobile mammography vans run by an Article 28 provider go through the same route.
Certificate of need
Required for every unit. The same Mobile Van Submission Guidelines state that “A Certificate of Need (CON) application is required to certify ambulatory services to be provided in a mobile facility.” Certifying a new van, or replacing one already certified, is filed as a Limited Review Application with the Department’s CON program.
X-ray and mammography registration
Outside New York City, radiation-producing equipment is registered with the State Department of Health. The Radiation Producing (X-Ray) Equipment Registration page sets the fee under section 16.41 of Part 16 of the State Sanitary Code: a base cost of $50 per year plus an amount that depends on the number of modalities in operation at the installation site. Ask the Bureau how it lists a van that works at several addresses.
Inside the five boroughs, the New York City Department of Health and Mental Hygiene handles the permits for radiological equipment (X-rays) and materials instead of the State.
In every state, a unit that performs mammography must also hold a federal certificate under the Mammography Quality Standards Act before it examines its first patient. The FDA’s MQSA certification page sets out the order: accreditation by an FDA-approved body first, then the certificate, then annual inspection. In New York the FDA itself issues the certificate.
Mobile dental permits
No specific mobile-unit rule found on the New York State Education Department, Office of the Professions, dentistry page, which licenses the dentists rather than the facility. A dental van operated by an Article 28 hospital or D&TC is certified through the mobile extension clinic route above. Confirm with the State Board for Dentistry before planning a dental van outside that route.
Who does what. HLE supplies the vehicle side of the file: the floor plan, weights, power and, where the unit carries X-ray or mammography equipment, the shielding drawings the registrations ask for. The licenses, registrations and certificates above are held by you, the operator; we help you build the paperwork list before the build starts. Tell us the state and the program.
Checked Oct 15, 2026. Each statement above was read on the agency or statute page it links to, on that date. Rules change and local permits (county health, fire, zoning, parking) are not listed; confirm each item with the agency before you budget or schedule. Not legal advice.
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