NYC Emergency Medicine Physician Take-Home Pay at a Glance
NYC emergency departments managed by large hospital systems like Northwell often employ physicians on productivity models that can boost earnings above base salary. The shift-based schedule of emergency medicine also makes moonlighting at urgent care centers or freestanding EDs feasible, adding $30,000–$60,000 in supplemental income for many attending physicians. NYC's Level I trauma centers command the highest pay due to case complexity.
Emergency Medicine Physician at $370,000 (single filer): Take-home is approximately $8,565 per bi-weekly paycheck, or ~$222,702 per year after all taxes.
NYC Emergency Medicine Physician Salary Range (2026)
| Career Stage | Annual Salary Range | Approx. Net/Year |
|---|---|---|
| EM Resident | $65,000–$88,000 | ~$56,096 |
| Junior Attending | $300,000–$390,000 | ~$209,721 |
| Senior Attending | $380,000–$470,000 | ~$251,260 |
| Medical Director | $450,000–$600,000 | ~$303,184 |
Tax Breakdown: $370,000 Emergency Medicine Physician Salary
| Tax / Deduction | Per Bi-Weekly Check | Annual Amount | % of Salary |
|---|---|---|---|
| Gross Pay | $14,230.77 | $370,000 | 100% |
| Federal Income Tax | −$3,607.58 | −$93,797 | 25.4% |
| NY State Income Tax | −$837.73 | −$21,781 | 5.9% |
| NYC Local Tax | −$534.85 | −$13,906 | 3.8% |
| FICA (SS + Medicare) | −$685.12 | −$17,813 | 4.8% |
| Net Take-Home | $8,565 | ~$222,702 | 60.2% |
At $370,000, your effective total tax rate is approximately 39.8%. NYC’s local income tax (3.876% at this bracket) stacked on top of NY State income tax creates a combined state and local burden of approximately 9.6% — before federal taxes. An emergency medicine physician earning $370,000 in NYC will owe approximately $160,000–$180,000 in combined federal, state, and city income taxes, making employer-sponsored deferred compensation plans highly valuable.
What Determines Emergency Medicine Physician Pay in NYC?
Major employers in NYC for emergency medicine physicians include Northwell Health operates the largest network of EDs in the metro area, followed by NewYork-Presbyterian, NYC Health + Hospitals (Bellevue, Lincoln, Elmhurst), and Mount Sinai. Emergency medicine staffing groups such as TeamHealth and Envision also place physicians throughout the region.
- Trauma center level and patient volume
- Shift differential for nights and weekends
- Academic appointment and teaching responsibilities
- Medical directorship or administrative role
Tax Tips for NYC Emergency Medicine Physicians
- Maximize 401(k) contributions: Contributing the full $23,500 in 2026 reduces your federal and NY State taxable income, saving approximately $6,000–$9,000 in combined taxes at mid-career salary levels.
- Pre-tax transit benefits: NYC’s commuter benefit program allows up to $315/month ($3,780/year) in pre-tax transit deductions, reducing both federal and state taxable income.
- Health Savings Account (HSA): If enrolled in a high-deductible health plan, contributing to an HSA ($4,300 individual / $8,550 family in 2026) provides triple tax benefits — deductible, tax-free growth, and tax-free withdrawals for medical expenses.
- NYC non-resident consideration: If you work in NYC but live in New Jersey, Long Island, or Westchester, you may not owe NYC local income tax (3.876%) — a potential savings of $13,906/year at this salary.
Frequently Asked Questions: NYC Emergency Medicine Physician Salary
How much does an emergency medicine physician take home in NYC after taxes?
An emergency medicine physician earning $370,000 in NYC takes home approximately $222,702 per year, or $8,565 per bi-weekly paycheck, after federal, NY State, and NYC local taxes. The combined effective tax rate is 39.8%.
What is the typical emergency medicine physician salary in NYC?
NYC emergency medicine physician salaries range from $65,000–$88,000 at entry level to $450,000–$600,000 for senior or specialized professionals. The median mid-career salary is approximately $370,000.
How many hours per week do NYC emergency medicine attendings typically work?
Most NYC EM attendings work 12–15 shifts per month (roughly 1,440–1,800 hours per year), with each shift typically 9–12 hours; this below-average hours structure relative to other specialties partially offsets the demanding pace and contributes to EM's strong lifestyle-adjusted compensation.
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