Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vanessa Soetanto, MD

Individual provider Pulmonary Disease Physician · NPI 1053816470

Vanessa Soetanto, MD is a Pulmonary Disease Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone: (718) 918-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 314963 (NY)

Record details

NPI number1053816470
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1400 Pelham Pkwy S Ste 5n50, Bronx, NY 10461-1197

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