Commercial Driver's License (CDL) Medical Examination / DOT Physical

CDL Medical Examination for $125 / DOT Physical Examination in NY and Long Island

Since May 21, 2014, only official DOT examiners in the USA, registered with the National Registry of Certified Medical Examiners (NRCME), can issue a CDL credential. The examination must include a physical evaluation, a vision test, and a hearing test.

Nao Medical: Your Trusted Partner for CDL Medical Exams

Nao Medical has a dozen medical examiners for the DOT who belong to the NRCME and can perform the CDL medical examination seven days a week in locations including Manhattan, Brooklyn, Bronx, Queens, Nassau County, and Suffolk County.


The regulations of the Federal Motor Carrier Safety Administration (FMCSA) have complicated the obtaining or renewal of the CDL. Don’t let your CDL expire!

At Nao Medical, our DOT medical examiners will perform DOT physical examinations and issue the certificates for:


DMVNew Commercial Driver’s License for drivers operating trucks and school buses (Article 19A).

– Taxi and Limousine drivers in NY (NYC TLC).

– Renewal of a Commercial Driver’s License (CDL in NY).

Why choose Nao Medical for your DOT medical exams for your CDL?


  • Convenience: We offer same-day appointments, no prior notice required. Just walk in!
  • Speed: The DMV-required medical exam takes approximately 30 minutes.
  • Reliability: We perform CDL Medical Exams for Heavy Truck Companies and Freight handling companies
  • Flexibility: We’re open late every day and weekends, including holidays.
  • Comprehensive Services: We perform DOT physical examinations, issue medical certificates, and communicate with the FMCSA and DMV. We communicate with the NY DMV, saving you a trip to the DMV.
  • Reminders: We’ll remind you when your CDL is about to expire.
  • Accessibility: Our offices are located near the subway, Long Island Rail Road, and bus stops.
  • Additional Services: We offer vision test, urinalysis, lamination of your CDL card, and more.
Don’t risk your CDL. Come to our experts! The Physical Examination at Nao Medical Includes:  
  • Blood pressure measurement: Measured with a sphygmomanometer, with acceptable systolic/diastolic ranges within DOT guidelines.
  • Heart rate evaluation: Resting and standing heart rate checked with a stethoscope, within acceptable ranges as per DOT regulations.
  • Visual acuity test: Snellen chart or other approved method used to assess visual acuity, and color blindness meeting DOT passing criteria.
  • Hearing acuity test: Whisper test or audiometer used to evaluate hearing, exceeding DOT minimum thresholds.
  • Urinalysis (UA): Tests for blood, protein, and sugar to identify potential health concerns. – In our Urinalysis, we do not do any no drug tests unless requested by an employer and with the patient has to consent for the urine drug screening (UDS)
Conditions that may disqualify you from passing the DOT medical exam: This is not an exhaustive list, and consultation with a healthcare professional is recommended for individual cases. Some common disqualifying conditions include:
  • Uncontrolled diabetes
  • Epilepsy
  • Uncontrolled high blood pressure
  • Certain vision or hearing impairments
  • Cardiovascular conditions
  • Neurological disorders
  • Substance abuse disorders

Our Medical Examiners:

All DOT medical examiners at Nao Medical are registered with the NRCME and possess the necessary qualifications to perform CDL medical exams.

Medical History Review:

A brief medical history review will be conducted during your exam to assess your overall health and identify any potential risk factors.

What happens if I fail the DOT medical exam?

If you don’t meet the DOT medical standards, our medical team will advise you on the next steps and any necessary follow-up care. You may be able to retake the exam after addressing the identified health concerns.

Additional Resources:

Disclaimer: The information provided in this document is for general informational purposes only and should not be construed as medical advice. Please consult with a healthcare professional for any specific medical concerns or questions.


We hope this updated information clarifies the process of obtaining your CDL medical exam at Nao Medical. If you have any questions, please don’t hesitate to contact us.


Call us at (917) 310-3371 or visit our website at to schedule your appointment today!


Nao Medical offices open from 8 AM (Mon-Fri) and 9 AM (Sat-Sun and holidays) for CDL DOT medical examinations. $125 for your CDL medical examination (normal price $175) includes a vision test and urinalysis on the same day as your DOT medical exam. There will be an additional charge of $10 for federal reports.

Did you know that:

  • You need a new medical certificate every two years?
  • You could lose your job, receive a fine from the DMV, or worse, have your commercial vehicle confiscated in the absence of a medical certificate validated by the DMV?
  • In fact, you can renew your CDL up to a year before the expiration date of your Commercial Driving License?

The Trucking Industry: Driving America’s Commerce

The Trucking Companies form the beating heart of a nation’s economy, powered by professional drivers, also known as commercial vehicle operators or heavy vehicle operators. These licensed haulers, or cargo specialists, are the skilled freight transportation professionals who navigate the highways as road warriors, acting as logistics navigators and supply chain heroes. They are the long-haul specialists, the over-the-road champions, the highway heroes who command their rigs as road masters, ensuring the nation’s goods reach their destinations. These haul contractors, also known as delivery services or cargo movers, are the fleet operators who orchestrate complex logistical dances, transforming tanker drivers, flatbed drivers, and refrigerated trucking experts into a symphony of efficient freight delivery.


Trucking Companies, more than just transportation providers or logistics specialists, are vital partners in the supply chain. They are the freight handlers, ensuring the smooth flow of goods across vast distances. They are the delivery experts, guaranteeing timely arrivals and customer satisfaction. They are the convoy masters, orchestrating the meticulous ballet of heavy vehicles across state lines and cityscapes.


But the Trucking Companies are not just about tonnage and mileage. It is about the human stories etched onto the asphalt. It is about safe drivers who prioritize safety above all else, earning the trust of communities they traverse. It is about high-paying trucking companies that value their workforce and invest in their well-being. It is about eco-friendly logistics solutions that prioritize sustainability and environmental responsibility.


In essence, the Trucking Companies are a powerful engine driving economic growth, a dynamic network of individuals and companies woven into the fabric of our daily lives. They are the unsung heroes who keep the wheels of commerce turning, the silent guardians of progress, the backbone of a nation’s prosperity.


for DOT Medical Examination, CDL Medical Examiner Certification, CDL Cards:

At Nao Medical, in addition to standard exams, we offer a unique service by providing a smaller version of the CDL Card, which you can carry in your wallet as a laminated card. In case of loss, we reissue this card as we maintain electronic records. Furthermore, if a CDL driver is stopped in other states or has an accident, the police or DOT agent can contact us to confirm the authenticity of the certificate issued by us. We are open 7 days a week, late, and with all our records electronic, allowing us to assist the driver remotely, even sending a copy via text message or email. Nao Medical provides this service for large transportation companies, making it more convenient to do it with us, as we have been doing it since 2009, unlike other offices. We also call and text to remind you when your CDL is about to expire, ensuring you are never without a valid CDL Certificate.

The DMV-required medical exam takes approximately 30 minutes. Nao Medical offers flexible hours, including weekends and holidays, allowing you to obtain your DOT CDL certificate the same day of the visit.

Our DOT physical examination at Nao Medical includes a series of specific tests, such as:

– Blood pressure measurement

– Heart rate evaluation

– Visual acuity test

– Hearing acuity test

– Urinalysis to detect blood, sugar, and specific gravity

We do not conduct drug tests in urine exams unless requested by an employer and with the patient’s consent.

We have multiple locations in Manhattan, Brooklyn, Bronx, Queens, Nassau County, and Suffolk County for your convenience.

At Nao Medical, no prior appointment is necessary for your exam. You can walk in during our operating hours.

You should bring a valid photo ID and any forms required by the DMV.

We will take care of communication with the NY DMV and FMCSA while you remain in our office.

In case of diagnosis of a condition requiring treatment, our medical team will advise you on the next steps to follow.

To obtain a CDL in the State of New York, requirements include passing a written test, a road test, and a medical examination. The latter must be performed by a licensed medical examiner registered with the National Registry of Certified Medical Examiners (NRCME). At Nao Medical, we have dozens of NRCME Certified Medical Examiners who issue what is known as the Medical Examiner’s Certificate.

An additional charge of $10 will be applied for federal reports.

 We offer services such as laminating your CDL and reminders for license renewal.

To qualify, you must pass our DOT medical exam and comply with the federal standards for CDL.

Requirements include passing a full physical exam, vision and hearing tests, and complying with FMCSA standards.

 It is an exam required for Taxi and Limousine drivers in New York (NYC TLC), which we also perform at Nao Medical.

Endorsements on the CDL refer to additional certifications for specific types of commercial vehicles or loads, such as hazardous materials.

The validity of a CDL in New York is generally several years, but it depends on various factors such as the driver’s age and type of license.

 It is recommended to undergo the medical exam every 2 years to keep your CDL active, although this may vary depending on your medical condition.

Upon passing the DOT physical exam at Nao Medical, we will provide you with the necessary Medical Certificate from the Department of Transportation.

It takes about 30 minutes to complete the physical exam and fill out the DOT examination form. Nao Medical is open on weekends, evenings, and holidays. You can arrive at any time and obtain your DOT CDL certificate the same day!

When you come to us at Nao Medical, bring your glasses if you need them and your Commercial Driver’s License (CDL). It’s not necessary to bring any printed document from the Department of Transportation (DOT), as we provide them at no additional cost. Take your CDL Card with you as soon as the visit ends. We will also perform the DMV vision test and DOT urinalysis right there (takes about 2 minutes). You will leave our clinic with your complete Commercial Driver Fitness Determination Medical Examination Report and a Certificate issued by a Medical Examiner. Our DOT physical exam is the fastest and most practical commercial DOT exam throughout Long Island (Nassau and Suffolk), as well as in the Bronx, Brooklyn, Queens, and Manhattan in NYC. This explains why drivers from these areas prefer to come to Nao Medical for their TLC medical certificate and DOT certificate for their Commercial Driver’s License.

Do not worry. We are a certified urgent care clinic. Review all the services we can offer. If medical treatment and follow-up are required, we will make the arrangements. We can order analysis and write prescriptions for such problems as well.

You should not delay the renewal of your Commercial Driver’s License.

In NYS, a CDL is required for drivers operating commercial vehicles such as large trucks, buses, and vehicles that transport hazardous materials. Typically, this includes vehicles with a Gross Vehicle Weight Rating (GVWR) of over 26,001 pounds, vehicles designed to transport 16 or more passengers (including the driver), or any size vehicle used to transport hazardous materials in a quantity requiring placarding.


A CDL in NYS is different from a regular driver’s license as it requires passing more rigorous written and skills tests. These tests are designed to ensure that the driver has the specialized knowledge and skills to safely operate large and potentially more dangerous vehicles.


 A CDL allows individuals to legally operate different types of large commercial vehicles in NYS and across the United States. Depending on the class and endorsements of the CDL, drivers can operate large trucks, passenger buses, school buses, vehicles carrying hazardous materials, tankers, and double/triple trailers.

No. DOT and CDL physical exams are occupational expenses and are not covered by insurance. For any other service, Nao Medical accepts most health insurances.

The examination fee is $125, regardless of whether you have insurance or not. This cost includes urine analysis and a vision test!

You need a DOT physical examination if you are a commercial driver operating:

 – Commercially used vehicles with a gross weight or combined weight over 10,000 lb (approximately 4536 kg).

 – Vehicles designed to transport 16 or more people, including the driver.

 – Vehicles transporting hazardous materials.

A New York State Department of Motor Vehicles-issued commercial driver’s license is valid for 5 years, but every two years, you must certify that you meet the federal medical requirements to drive commercial vehicles.


The NY DMV will send you a notification between 45 and 85 days before your commercial license expires, but you can renew it a year before the date specified on your commercial driving license.


Useful link: [NY DMV Apply for CDL] (–new–york/apply–cdl.php)

Every two years. Nao Medical provides all healthy drivers (truck, school bus, and taxi drivers) a Medical Certificate valid for two full years (the maximum allowed in the State of New York). Other institutions might provide documents with limited validity of 6 months or 1 year and require renewal at the end of that period. Drivers with health issues might need to return sooner.

Our health professional will talk with you to get a brief medical history for the DOT/CDL physical examination.

Following this, you will receive a physical examination of all your body systems.

A vision test will be conducted for acuity and color recognition. Don’t forget to bring your glasses.

An auditory examination will be conducted.

A urine sample will be tested for blood, protein, and sugar.

An ECG (heart examination) may be performed on those with heart problems.

The DOT physical examination is conducted to ensure that truck, bus, and taxi drivers are medically competent to operate commercial vehicles. If we conclude that you are physically and medically qualified to operate a commercial vehicle, we will complete and sign your CDL certificate. You can hand it directly to your employer or any DMV in the State of NY.

For your convenience, we offer the following payment options:

 – A payment of $125 at the time of your visit (regardless of your health insurance coverage). Cash, credit, and debit cards are accepted. Personal checks are not accepted.

 – Full payment by the employer at the time of service.

The New York State Department of Motor Vehicles issues a Commercial Driver’s License to those applicants, residents of the State of New York, who have a Class D, Class E, or a non-commercial Class C license. A valid CDL from another state makes you eligible to apply for a NY CDL, and you may additionally be required to surrender your foreign license (federal regulations).

The purpose of the 1986 Commercial Motor Vehicle Safety Act was to improve road safety and also remove risky drivers from the roads.


This Act sets minimum standards that must be met by all drivers to receive a Commercial Driver’s License (CDL). The Act declares it illegal to possess more than one driver’s license; you can have a regular license or a commercial driver’s license, but not both.


Likewise, you can have a license from the state in which you reside, but you cannot possess multiple CDLs from more than one state. Federal regulations require you to pass the physical exam every two years and be at least 21 years old to operate commercial vehicles across state lines.

 – Class A: Any combination of vehicles with a Gross Vehicle Weight (GVW) of 26,001 or more pounds, and the GVW of the vehicles being towed is more than 10,000 pounds.

 – Class B: Any single vehicle with a GVW of 26,001 or more pounds, and the GVW of the vehicles being towed does not exceed 10,000 pounds.

 – Class C: Any single vehicle or combination of vehicles that does not qualify within Class A or Class B, but is either designed to transport 16 or more passengers including the driver, or is used to transport hazardous materials.

In many states, exceptions apply to farm vehicles, snow removal vehicles, fire or emergency vehicles, and some military vehicles.

To be licensed to operate certain commercial vehicles, additional exams are required. If passed, such endorsement will appear on your CDL. The five DOT applications you can apply for are:

 – T―Double/Triple Trailer (Knowledge test only)

 – P―Passenger (Knowledge and skills test)

 – N―Tank Vehicles (Knowledge test only)

 – H―Hazardous Materials (For HAZMAT, knowledge test only)

 – S―School Bus (Knowledge and skills test)

Regulations by the Federal Motor Carrier Safety Administration (FMCSA) require interstate commercial drivers to be medically fit to operate their vehicles safely and competently. You must have passed a CDL medical examination in the previous two years and carry a medical certificate issued by the Department of Transportation (DOT) at all times.


An acceptable proof of examination for the Department of Motor Vehicles (DMV) is a Medical Certificate according to Form 649-F (6045). A medical examiner will have to complete the FMCSA’s Commercial Driver Fitness Medical Examination Report and its certificate at the end of your visit.


Link to the federal requirements for first-time CDL applicants: [FMCSA CDL Requirements](

A medical certification for the New York City Taxi and Limousine Commission – Applicants for commercial license of “Yellow Taxis”. The purpose of a medical examiner’s certificate is to certify that the yellow taxi driver or general taxi drivers are medically fit to safely operate a yellow taxi or TLC NYC limousine.

No. You do not need to bring any forms with you to Nao Medical. We will provide all the forms. Here is a useful DOT link for the TLC NYC Form 4.01.10 for yellow taxi drivers: NYC TLC Yellow Taxi Form

The physical examination seeks to determine the medical condition of school bus drivers operating under the Taxi and Limousine Commission and the New York State Department of Motor Vehicles (DMV) under Article 19A: The purpose of a Medical Examiner’s Certificate is to verify and certify that the vehicle driver is physically and medically fit to operate a school bus in accordance with Commissioner’s Regulations 6.10 or 6.10-a.

Here you will find useful links for the DMV Form DS-874:


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– [ Forms & Certificates] ( Forms & Certificates)


  • DMVNRCME: National Registry of Certified Medical Examiners.
  • DMVNYC: New York City.
  • DMVCDL: Commercial Driver’s License.
  • DMVDOT: Department of Transportation.
  • DMVDMV: Department of Motor Vehicles.
  • DMVNYC TLC: New York City Taxi and Limousine Commission.
  • DMVYellow Taxi: The taxis in NYC are known as Yellow Taxis or Yellow Cabs.
  • DMVDOE: Department of Education, NYC.
  • DMVCLD Card: Commercial Driver’s License (Medical) Card.
  • DMVFMCSA: Federal Motor Carrier Safety Administration