Active NPI
Divergent Dermatology and Aesthetics
- Dermatology Physician
- Gaithersburg, MD
National Provider Identifier
1407663214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DIVERGENT DERMATOLOGY AND AESTHETICS
- Practice address
- 18310 Montgomery Village Ave Ste 300
Gaithersburg, MD 20879-3552 - Phone
- (240) 813-8215
- NPI assigned
- Dec 16, 2024
- Last updated
- Aug 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Qaren Q Quartey, MD
- Title
- Owner
- Phone
- (240) 477-9883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
18310 Montgomery Village Ave Ste 300
Gaithersburg, MD 20879-3552
Mailing address
19785 Crystal Rock Dr Ste 208
Germantown, MD 20874-4715
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Germantown, MD
- NPI 1679151484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1407663214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19785 CRYSTAL ROCK DR STE 208",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18310 MONTGOMERY VILLAGE AVE STE 300",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793552",
"telephone_number": "240-813-8215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERGENT DERMATOLOGY AND AESTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "QUARTEY",
"authorized_official_first_name": "QAREN",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-477-9883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.