| Middle Island to Romeoville (Illinois) | 787.79 mi (1,267.82 km) |
| Middle Island to Romulus (Michigan) | 546.30 mi (879.18 km) |
| Middle Island to Ronkonkoma (New York) | 10.95 mi (17.62 km) |
| Middle Island to Roosevelt (New York) | 36.30 mi (58.42 km) |
| Middle Island to Rosamond (California) | 2,475.80 mi (3,984.42 km) |
| Middle Island to Rosaryville (Maryland) | 252.62 mi (406.56 km) |
| Middle Island to Roscoe (Illinois) | 834.74 mi (1,343.39 km) |
| Middle Island to Rose Hill (Virginia) | 264.16 mi (425.13 km) |
| Middle Island to Roseburg (Oregon) | 2,551.59 mi (4,106.38 km) |
| Middle Island to Rosedale (California) | 2,513.03 mi (4,044.33 km) |
| Middle Island to Rosedale (Maryland) | 216.90 mi (349.07 km) |
| Middle Island to Roselle (Illinois) | 786.91 mi (1,266.41 km) |
| Middle Island to Roselle (New Jersey) | 70.64 mi (113.69 km) |
| Middle Island to Roselle Park (New Jersey) | 70.79 mi (113.92 km) |
| Middle Island to Rosemead (California) | 2,491.21 mi (4,009.22 km) |
