6 items, in order: articles of organization (llc) or a business certificate, employer identification number (ein), sales tax certificate of authority, certificate of occupancy or letter of no objection, physician ownership and supervision and employer registration for unemployment insurance and withholding (nys-100).
How to open, New York
How to open a med spa in New York
6 licenses, permits and registrations, in the order to get them, each with the agency, the fee and the official page.
6 licenses, permits and registrations, in the order to get them
Every row checked against its agency’s page; the latest on Oct 17, 2026.
Set up the business
Articles of organization (LLC) or a business certificate
An LLC keeps your personal assets apart from the business and is what landlords and lenders expect on a lease. New York’s publication step is the one people miss: without the certificate of publication the LLC’s authority to do business is suspended after 120 days.
Checked Oct 17, 2026
- Agency
- New York Department of State, Division of Corporations; county clerk for sole proprietors and partnerships
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Employer Identification Number (EIN)
Needed to hire, to open a business bank account and for the state registrations. Issued at once online.
Checked Oct 17, 2026
- Agency
- Internal Revenue Service
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Register for tax
Sales tax Certificate of Authority
Apply at least 20 days before the first sale; nothing may be sold until the certificate arrives, and it is displayed at the counter. Operating without one can cost up to $10,000 in penalties.
Checked Oct 17, 2026
- Agency
- New York State Department of Taxation and Finance, through New York Business Express
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Approve the space
Certificate of occupancy or letter of no objection
Check the building’s certificate of occupancy before signing: if your use group matches and the exits are unchanged, a letter of no objection may be all a license needs; if the use changes (a store becoming a restaurant), plan for an architect’s filing, build-out and a new certificate. Outside the city, the town building inspector issues occupancy approval.
Checked Oct 17, 2026
- Agency
- Your city or town building department (in New York City, the Department of Buildings)
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Get the permits for your kind of business
Physician ownership and supervision
New York bars lay ownership of a medical practice and fee splitting with non-licensees: a med spa offering injectables, medical peels or lasers that reach the dermis is a professional corporation or PLLC owned by physicians. Laser hair removal is the one energy treatment the Department has not classed as medicine.
Checked Oct 17, 2026
- Agency
- New York State Education Department, Office of the Professions; State Board for Medicine
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Before the first hire
Employer registration for unemployment insurance and withholding (NYS-100)
One registration covers unemployment insurance, withholding and wage reporting; have the EIN first. New York also requires disability and paid family leave coverage and workers’ compensation from the first employee, through an insurer.
Checked Oct 17, 2026
- Agency
- New York State Department of Labor, through New York Business Express
- Official page
- Members
- Fee
- Members
- Renewal
- Members
How they fare in New York
- Closed in 2023, health care and social assistance
- 6.9%
- Opened in 2023
- 9.4%
Then pick the place
- The free location checkWho lives and works around an address, the med spas already there and the traffic on its road, from public records.
- The full reportWhether the rules allow a med spa at that address, the rent it supports, what has opened and closed nearby, and the questions to settle before signing.
Have an address in mind?
Check the address freeNo account. The med spa check reads public records at the address itself.
Sources and dates
Department of State LLC formation, publication and assumed name pages; New York County Clerk business certificate fees; IRS EIN page; Tax Department bulletin, how to register for New York State sales tax; NYC Department of Buildings certificate of occupancy and letter of no objection pages; Office of the Professions corporate practice pages; State Board for Medicine determination on energy devices (2025); Department of Labor register for unemployment insurance page; U.S. Census Bureau Business Dynamics Statistics. Fees are as published by each agency on the date checked; cities add their own.