Healthcare Provider Details

I. General information

NPI: 1174453484
Provider Name (Legal Business Name): COASTAL WOMEN'S MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WHITE RD STE 210
LITTLE SILVER NJ
07739-1162
US

IV. Provider business mailing address

200 WHITE RD STE 210
LITTLE SILVER NJ
07739-1162
US

V. Phone/Fax

Practice location:
  • Phone: 732-440-7550
  • Fax: 732-334-5937
Mailing address:
  • Phone: 732-440-7550
  • Fax: 732-334-5937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARYANN YEHL
Title or Position: PHYSICIAN CEO
Credential: DO
Phone: 732-768-8849