NPIMap

Organization Active NPI

Valley Health Partners Community Health Center

Doing business as VHP - Valerie Hodge Pediatric Dental Center

  • Federally Qualified Health Center (FQHC)
  • East Stroudsburg, PA
National Provider Identifier
1689409419
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as
VHP - Valerie Hodge Pediatric Dental Center
VHP Pediatrics - Plaza Court
Practice address
500 Plaza CT
East Stroudsburg, PA 18301-8262
Phone
(570) 476-3585
Fax
(570) 421-9014
NPI assigned
Sep 3, 2024
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Doman
Title
Cfo
Phone
(610) 764-8326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

500 Plaza CT
East Stroudsburg, PA 18301-8262

Mailing address

PO Box 780631
Philadelphia, PA 19178-0631
Phone (484) 884-4500

Other names 2

  • VHP - Valerie Hodge Pediatric Dental Center Doing business as
  • VHP Pediatrics - Plaza Court Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200505003199 PA Part B Supplier - Clinic/Group Practice 4284065327 Receives reassigned benefits from 311 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Allentown, PA; Tobyhanna, PA; Stroudsburg, PA; Easton, PA; East Stroudsburg, PA; Brodheadsville, PA
O20250110001044 PA Part A Provider - Federally Qualified Health Center (FQHC) 4284065327 Practice locations: East Stroudsburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689409419. Details of each certification follow.

Federally qualified health center certification: CCN D31024

Legal name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as
VHP PEDIATRICS - PLAZA COURT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 19, 2024
Last certification
Dec 19, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
500 Plaza CT
East Stroudsburg, PA 18301-8262

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2023412VHP-Pediatrics Plaza Court500 Plaza CT, Suite a, East Stroudsburg, PA 18301Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Veronica Gonzalez Individual Corporate OfficerCeo Jul 1, 2020
Ismael Correa Individual Corporate DirectorBoard Member Jul 1, 2020
Louis Finnerty Individual W-2 Managing Employee Jul 1, 2020
Charlene Fulton Individual Corporate DirectorBoard Member Jul 1, 2020
Anne Panik Individual Corporate DirectorBoard Member Jul 1, 2020
Paula Margraf Individual Corporate DirectorBoard Chairmen Jul 1, 2020
Thomas V Whalen Individual Corporate DirectorBoard Member Jul 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
VHP - Family Health CenterAllentown, PA, CCN 731927 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2020
VHP- Children's Clinic at SheridanAllentown, PA, CCN 731923 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2020
VHP- Centro de SaludAllentown, PA, CCN 731933 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2020
VHP- Community Health and Wellness CenterAllentown, PA, CCN 731941 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2020
VHP- Center for Women's MedicineAllentown, PA, CCN 731949 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2020
VHP- Children's ClinicAllentown, PA, CCN 731943 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2020
VHP Community Smiles at 6TH StreetAllentown, PA, CCN 731985 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2020
VHP Community Vision Center at 6TH StreetAllentown, PA, CCN 731007 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022
VHP Family Health Center at 6TH StAllentown, PA, CCN D31000 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1689409419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780631",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780631",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLAZA CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018262",
            "telephone_number": "570-476-3585",
            "fax_number": "570-421-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "DOMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-764-8326"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VHP - Valerie Hodge Pediatric Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VHP Pediatrics - Plaza Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.