| Middle Island to Punta Gorda (Florida) | 1,097.24 mi (1,765.84 km) |
| Middle Island to Puyallup (Washington) | 2,447.51 mi (3,938.89 km) |
| Middle Island to Queen Creek (Arizona) | 2,177.60 mi (3,504.51 km) |
| Middle Island to Queens (New York) | 45.54 mi (73.29 km) |
| Middle Island to Quincy (Illinois) | 970.26 mi (1,561.49 km) |
| Middle Island to Quincy (Massachusetts) | 137.15 mi (220.73 km) |
| Middle Island to Raceland (Louisiana) | 1,256.48 mi (2,022.11 km) |
| Middle Island to Racine (Wisconsin) | 775.18 mi (1,247.54 km) |
| Middle Island to Radcliff (Kentucky) | 724.85 mi (1,166.54 km) |
| Middle Island to Radford (Virginia) | 484.16 mi (779.18 km) |
| Middle Island to Rahway (New Jersey) | 72.49 mi (116.66 km) |
| Middle Island to Raleigh (North Carolina) | 465.81 mi (749.65 km) |
| Middle Island to Ramona (California) | 2,458.17 mi (3,956.05 km) |
| Middle Island to Ramsey (Minnesota) | 1,074.76 mi (1,729.66 km) |
| Middle Island to Ramsey (New Jersey) | 63.74 mi (102.58 km) |
