If we're talking about crews based outside New York and New Jersey, that would be a short list.

You would have the Genovese crew in Springfield, which has been hit hard by indictments in recent years. Also their crew in Florida, which was busted back in 2006 and led to Ray Ruggiero flipping. That's assuming the crew is still active.

The Gambinos have the Artuso crew which is based in Florida. The Sciandra crew, which operates in Connecticut, isn't really based there.

For the Colombos, the Farese crew was based in Florida.

Can't think of any others. The NY families have crews that operate in areas outside New York and New Jersey but they're NY/NJ-based. You won't find any modern day crews, from NY or elsewhere, based in California or other states out west.