| Middle Island to Rockville (Maryland) | 255.26 mi (410.80 km) |
| Middle Island to Rockville Centre (New York) | 39.35 mi (63.33 km) |
| Middle Island to Rockwall (Texas) | 1,404.27 mi (2,259.96 km) |
| Middle Island to Rocky Mount (North Carolina) | 429.48 mi (691.17 km) |
| Middle Island to Rocky Point (New York) | 3.49 mi (5.61 km) |
| Middle Island to Rocky River (Ohio) | 464.76 mi (747.95 km) |
| Middle Island to Roessleville (New York) | 132.60 mi (213.39 km) |
| Middle Island to Rogers (Arkansas) | 1,184.53 mi (1,906.32 km) |
| Middle Island to Rogers (Minnesota) | 1,080.15 mi (1,738.34 km) |
| Middle Island to Rohnert Park (California) | 2,617.93 mi (4,213.16 km) |
| Middle Island to Rolla (Missouri) | 1,022.55 mi (1,645.63 km) |
| Middle Island to Rolling Meadows (Illinois) | 783.86 mi (1,261.51 km) |
| Middle Island to Roma (Texas) | 1,790.55 mi (2,881.61 km) |
| Middle Island to Rome (Georgia) | 810.23 mi (1,303.93 km) |
| Middle Island to Rome (New York) | 207.82 mi (334.46 km) |
