[{"data":1,"prerenderedAt":140},["ShallowReactive",2],{"guide-clinic-lease-checklist-nyc-long-island-en-US":3},{"guide":4,"related":123},{"title":5,"seoTitle":6,"description":7,"summary":8,"sections":9,"faq":89,"cta":96,"date":98,"updated":98,"service":99,"order":100,"sources":101,"slug":121,"locale":122},"Before you sign a clinic lease in NYC or Long Island","Medical Office Lease Checklist: NYC & Long Island","What to settle before leasing clinic space in NYC or Long Island: occupancy, Article 28, the certificate of occupancy and what the building can supply.","The decisions that drive the cost of a clinic build-out are made at lease time, not when finishes are chosen. Before signing, a practice should know which services it will offer in the space, whether its structure or name could bring it under Article 28 licensure, whether the certificate of occupancy covers medical use, and whether the building can deliver power, plumbing, exhaust and cooling where the clinical rooms need them. Where practical, we walk the space with the practice before the lease is signed and list what the building can and cannot supply.",[10,18,23,28,64,69,74],{"heading":11,"paragraphs":12,"list":14},"Three questions about the space",[13],"Every pre-lease review we perform starts from three questions, and the answers determine which professionals the practice needs and which parts of the space will change.",[15,16,17],"What will happen in the space. Routine exams, vaccines, blood draws, imaging, minor procedures, sedation and compounding each place different demands on fire separation, power, plumbing and ventilation.","Who owns the practice and what it will be called. Ownership structure and the name on the door can affect state licensure.","What the building allows. The certificate of occupancy, the landlord's base-building systems and the physical routes for pipes, ducts and conduit set the limits of any layout.",{"heading":19,"paragraphs":20},"Occupancy and fire separation in New York City",[21,22],"The [2022 NYC Building Code](https:\u002F\u002Fwww.nyc.gov\u002Fsite\u002Fbuildings\u002Fcodes\u002F2022-construction-codes.page), which governs applications filed on or after November 7, 2022, places outpatient clinics and ambulatory care facilities in the same occupancy, Business Group B (BC 304.1). The requirements still differ. An outpatient clinic provides care on a less than 24-hour basis to patients who are not rendered incapable of self-preservation by the treatment. An ambulatory care facility treats patients who are, for example under general anesthesia or deep sedation.","Under BC 422.2, where four or more care recipients could be incapable of self-preservation at any one time, the facility must be separated from adjacent spaces, corridors and tenants by a fire partition, and BC 422.3 adds smoke compartment rules above a set floor area. One sedation-capable procedure suite can change the partitions, the door hardware and the corridor plan, so the decision belongs before the architect draws the layout. The architect or engineer of record determines the classification, and we build to it.",{"heading":24,"paragraphs":25},"Article 28 and office-based surgery",[26,27],"Private practices delivering routine outpatient care do not need a New York State Department of Health license under Public Health Law Article 28. A practice that operates through a not-for-profit or business corporation other than a professional service corporation, however, may be found to operate a [diagnostic and treatment center under 10 NYCRR 600.8](https:\u002F\u002Fregs.health.ny.gov\u002Fcontent\u002Fsection-6008-criteria-determining-operation-diagnostic-or-treatment-center-under-article-28), and a name such as center or clinic, rather than the practitioners' own names, is treated as prima facie evidence of one. Article 28 construction goes through Certificate of Need review, whose thresholds were raised by amendments to 10 NYCRR 710.1 effective August 6, 2025.","Practices performing office-based surgery, meaning procedures that require general anesthesia or moderate or deep sedation, and any liposuction, must hold [full accreditation under Public Health Law 230-d](https:\u002F\u002FHealth.ny.gov\u002Fprofessionals\u002Foffice-based_surgery\u002Flaw\u002Fdocs\u002F230-d.pdf). Accreditation is the practice's obligation, yet it shapes the build through recovery space, medical gas storage and emergency power. Structure and naming are questions for the practice's healthcare attorney, ideally settled before the lease and the sign order.",{"heading":29,"paragraphs":30,"table":33},"The certificate of occupancy and the building itself",[31,32],"In New York City, converting a retail store (Group M) to a clinic (Group B) usually requires an alteration filing with the Department of Buildings and may require an amended certificate of occupancy. Zoning is a separate question. The 2024 City of Yes for Economic Opportunity amendments restructured the city's use groups, and the architect should confirm how the zoning resolution now treats the intended medical use at that address.","A former dental suite may contain nitrous oxide piping that must be removed or certified, and the existing sprinkler layout and ventilation rarely suit a new floor plan. A former clinic's sealed rooms, door operators, heat-welded sheet flooring, HVAC and backed-up circuits can often be [reused in the new build-out](\u002Fguides\u002Freuse-former-clinic-space) when they are identified before demolition.",{"caption":34,"head":35,"rows":39},"Building items to verify before signing",[36,37,38],"Item","What to check","Why it matters",[40,44,48,52,56,60],[41,42,43],"Electrical service","Service size, spare capacity and open panel spaces","Vaccine refrigerators, imaging, lab analyzers and the network closet need dedicated circuits",[45,46,47],"HVAC","Whether base-building air runs after hours, and whether a rooftop unit or split system can be added","Medication and network rooms need cooling around the clock, and better filtration needs fan capacity",[49,50,51],"Plumbing","Location of wet columns and the drain slope available","Exam-room hand sinks and a lab sink are economical near existing risers; cutting a slab is costly",[53,54,55],"Exhaust","A route to the roof or the facade","Toilet rooms, a lab or an isolation exam room may need exhaust to the outdoors",[57,58,59],"Structure","Floor loading","Imaging equipment, compounding hoods and pharmacy automation can exceed ordinary office loads",[61,62,63],"Access","Elevator, accessible entrance and route to the suite","Path-of-travel upgrades may fall on the tenant under the lease",{"heading":65,"paragraphs":66},"Work letter terms and fire protection",[67,68],"A landlord's vanilla box often excludes HVAC distribution, sprinkler head relocation, fire alarm devices and accessible toilet room upgrades. The work letter should state who pays for them and for any path-of-travel upgrades the filing triggers.","Every layout change in a sprinklered building moves sprinkler heads and fire alarm devices. In New York City, anyone who stores or handles non-flammable gas cylinders such as oxygen, nitrous oxide or carbon dioxide needs an [FDNY Certificate of Fitness G-46](https:\u002F\u002Fwww.nyc.gov\u002Fsite\u002Ffdny\u002Fbusiness\u002Fall-certifications\u002Fcof-g46.page), and supervision of piped non-flammable medical gas systems calls for a G-71.",{"heading":70,"paragraphs":71},"Long Island differences",[72,73],"Nassau and Suffolk projects are filed with the town or incorporated village building department, each with its own forms and review sequence. The 2025 New York State Uniform Code, based on the 2024 International Codes with state amendments, took effect December 31, 2025, and permit applications from that date must comply with it.","Medical offices generally need more parking than retail under town zoning codes, and a shortfall usually means a variance application to the town or village zoning board, which can add months. Check the ratio in the local code before signing. In parts of Suffolk without public sewer, a change to medical use may bring review under Article 6 of the Suffolk County Sanitary Code, which limits sewage flow by lot size, and a medical office is assigned a higher design flow than retail. The design professional should confirm the review for the site.",{"heading":75,"list":76,"after":87},"Items new clinics commonly miss",[77,78,79,80,81,82,83,84,85,86],"A planned location and [receptacle for each vaccine refrigerator](\u002Fguides\u002Fclinic-backup-power-vaccine-network), away from sinks","A hand sink in each exam room, placed near existing plumbing","A lockable network closet with its own cooling and circuit","[Camera, access control and data rough-in](\u002Fguides\u002Flow-voltage-system-design-nyc) before drywall","[An accessible exam room](https:\u002F\u002Fwww.ada.gov\u002Fresources\u002Fmedical-care-mobility\u002F) with space for the accessible exam table and weight scale that the Section 504 rule has required since July 8, 2026 of practices that receive HHS federal financial assistance, which HHS reads to include Medicaid and Medicare Part B; the practice's counsel confirms whether it applies","Signage in the languages patients speak","Storage for sharps and regulated medical waste","A staff break room separate from clean supply","Solid-core doors and insulated walls between exam rooms","After-hours building access for a vaccine storage emergency",[88],"We [build out independent clinics of all specialties](\u002Fservices\u002Fhealthcare) and independent pharmacies across New York City and Long Island, most often in Queens, Brooklyn, Manhattan, Nassau and Suffolk. Layouts are developed with our interior design partners, and the electrical, plumbing, HVAC and low-voltage work is performed with licensed partner contractors.",[90,93],{"q":91,"a":92},"Do I need an Article 28 license to open a medical practice in New York?","Not for a private practice delivering routine outpatient care under the practitioners' own names. A corporate structure other than a professional service corporation, or a name such as center or clinic, can indicate a diagnostic and treatment center under 10 NYCRR 600.8, and a healthcare attorney should review both before the lease is signed.",{"q":94,"a":95},"Can a retail store become a medical office in NYC?","Often it can. The change from Group M to Group B usually needs a Department of Buildings alteration filing and may need an amended certificate of occupancy. The architect confirms the zoning use for the address, and the building must be able to supply the plumbing, power and exhaust the clinical rooms require.",{"text":97},"Send the address, the landlord's floor plan or lease exhibit, your specialty, and the services you plan to offer, including any vaccines, imaging, procedures or sedation. Before you sign, we walk the space where practical and return, at no charge, a list of what the building can and cannot supply for those services, a budget range for the build-out, and the questions your architect and healthcare attorney should answer before the lease is final.","2026-10-25","healthcare",120,[102,106,110,113,117],{"title":103,"url":104,"publisher":105},"2022 NYC Construction Codes","https:\u002F\u002Fwww.nyc.gov\u002Fsite\u002Fbuildings\u002Fcodes\u002F2022-construction-codes.page","NYC Department of Buildings",{"title":107,"url":108,"publisher":109},"Section 600.8 - Criteria for determining the operation of a diagnostic or treatment center under article 28 of the Public Health Law","https:\u002F\u002Fregs.health.ny.gov\u002Fcontent\u002Fsection-6008-criteria-determining-operation-diagnostic-or-treatment-center-under-article-28","New York State Department of Health",{"title":111,"url":112,"publisher":109},"Public Health Law Section 230-d: Office-Based Surgery","https:\u002F\u002FHealth.ny.gov\u002Fprofessionals\u002Foffice-based_surgery\u002Flaw\u002Fdocs\u002F230-d.pdf",{"title":114,"url":115,"publisher":116},"Certificate of Fitness G-46","https:\u002F\u002Fwww.nyc.gov\u002Fsite\u002Ffdny\u002Fbusiness\u002Fall-certifications\u002Fcof-g46.page","FDNY",{"title":118,"url":119,"publisher":120},"Access to Medical Care for Individuals with Mobility Disabilities","https:\u002F\u002Fwww.ada.gov\u002Fresources\u002Fmedical-care-mobility\u002F","U.S. Department of Justice, ADA.gov","clinic-lease-checklist-nyc-long-island","en-US",[124,128,132,136],{"slug":125,"title":126,"description":127,"service":99,"date":98,"updated":98},"hipaa-physical-safeguards-clinic-design","Designing a clinic around HIPAA physical safeguards","How door hardware, cameras, workstation placement, a secure network closet and separated networks in a NYC clinic support the HIPAA Security Rule.",{"slug":129,"title":130,"description":131,"service":99,"date":98,"updated":98},"clinic-backup-power-vaccine-network","Keeping a clinic open through a power or network outage","Vaccine refrigerator outlets, UPS and generator options, a critical-load panel, internet failover and HVAC redundancy for NYC and Long Island clinics.",{"slug":133,"title":134,"description":135,"service":99,"date":98,"updated":98},"clinic-ventilation-filtration-nyc","Clinic ventilation and filtration in NYC and Long Island","What NYC and Long Island codes require for clinic ventilation, where ASHRAE 170 applies, MERV 13 vs HEPA, waiting-room pressure and filter access.",{"slug":137,"title":138,"description":139,"service":99,"date":98,"updated":98},"clinic-flooring-finishes-antimicrobial","Clinic flooring, wall protection and antimicrobial labels","Medical office flooring in NYC and Long Island: sheet vinyl with integral cove, DCOF slip ratings, wall protection, and what antimicrobial labels may claim.",1792938766757]