# GALAXY AMBULANCE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Galaxy Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508115031
- **Authorized official:** EVRIKH Y ASHUROV (OWNER)
- **Authorized official phone:** (800) 596-5222

## Contact information

- **Practice address:** 110 MAIN ST STE 303, SOUTH AMBOY, NJ 08879-1376
- **Practice address phone:** (800) 596-5222
- **Practice address fax:** (877) 596-5011
- **Mailing address:** 110 MAIN ST STE 303, SOUTH AMBOY, NJ 08879-1376
- **Mailing address phone:** (800) 596-5222
- **Mailing address fax:** (877) 596-5011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1212074 | NJ | Yes |
| 3416L0300X | Land Ambulance | 1212074 | NJ | — |
| 343800000X | Secured Medical Transport (VAN) | 1212074 | NJ | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 1212074 | NJ | — |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 11/09/2020