| Middletown to Parma Heights (Ohio) | 188.80 mi (303.85 km) |
| Middletown to Parole (Maryland) | 419.52 mi (675.15 km) |
| Middletown to Parsippany (New Jersey) | 533.39 mi (858.40 km) |
| Middletown to Pasadena (California) | 1,892.35 mi (3,045.44 km) |
| Middletown to Pasadena (Maryland) | 418.08 mi (672.84 km) |
| Middletown to Pasadena (Texas) | 914.61 mi (1,471.91 km) |
| Middletown to Pasadena Hills (Florida) | 784.37 mi (1,262.33 km) |
| Middletown to Pascagoula (Mississippi) | 674.09 mi (1,084.85 km) |
| Middletown to Pasco (Washington) | 1,805.07 mi (2,904.98 km) |
| Middletown to Passaic (New Jersey) | 548.14 mi (882.14 km) |
| Middletown to Pataskala (Ohio) | 94.42 mi (151.95 km) |
| Middletown to Patchogue (New York) | 605.27 mi (974.09 km) |
| Middletown to Paterson (New Jersey) | 546.83 mi (880.03 km) |
| Middletown to Patterson (California) | 1,980.62 mi (3,187.49 km) |
| Middletown to Pawtucket (Rhode Island) | 699.32 mi (1,125.45 km) |
