Healthcare Provider Details

I. General information

NPI: 1699693176
Provider Name (Legal Business Name): ARIANA ALEXIS CIPOLETTA AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 RUTLEDGE AVE
CHARLESTON SC
29425-8903
US

IV. Provider business mailing address

35 HARVEST WAY
LITTLE EGG HARBOR TWP NJ
08087-4044
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-3531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number8054
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: